NRSG 4580 | Mechanical Ventilation Exam III: Respiratory
Questions With Complete Solutions
ABCDE Bundle Correct Answer Awakening & Breathing
Coordination,
Delirium monitoring & management,
Early mobility bundle
- Used for weaning
Adjust ventilator to deliver the ___________ _____________
O2 concentration Correct Answer LOWEST EFFECTIVE
Advantages of high-frequency oscillatory support ventilation
Correct Answer Protects patients from pressure injuries
associated with other ventilation types
Advantages of noninvasive positive-pressure ventilators
Correct Answer - Given via facemask
- Eliminates need for ET tube or trach
- Decreases nosocomial infection risk
Advantages of pressure-cycled ventilation Correct Answer
Easier on the patient
Barotrauma is most common in who? Correct Answer Most
common with emphysema patients
- Overdistended alveoli can't participate in exchange
, Complication of mechanical ventilation: BAROTRAUMA
Correct Answer Trauma to airway or lung structures due to
high pressures.
Complication of mechanical ventilation: GI COMPLICATIONS
Correct Answer - Cholecystitis
- Aspiration of enteral feedings
- Decreased GI motility
- GI bleeds
- Stress ulcers
Complication of mechanical ventilation: OXYGEN TOXICITY
Correct Answer PaO2 > 100
- Makes weaning from ventilator difficult
Complications of suctioning Correct Answer - Atelectasis
- Bleeding, infection, trauma
- Bradycardia (vagus nerve can be stimulated)
- HTN & hypotension
- Increased ICP
- O2 desat from holding breath**
Considerations of mechanical ventilation suctioning Correct
Answer - STERILE
- Should be done when NEEDED, not routinely
- No longer than 15 seconds if increased ICP
Contraindications for noninvasive positive-pressure ventilators
Correct Answer - Respiratory arrest
- Serious dysrhythmias
- Cognitive impairment
Questions With Complete Solutions
ABCDE Bundle Correct Answer Awakening & Breathing
Coordination,
Delirium monitoring & management,
Early mobility bundle
- Used for weaning
Adjust ventilator to deliver the ___________ _____________
O2 concentration Correct Answer LOWEST EFFECTIVE
Advantages of high-frequency oscillatory support ventilation
Correct Answer Protects patients from pressure injuries
associated with other ventilation types
Advantages of noninvasive positive-pressure ventilators
Correct Answer - Given via facemask
- Eliminates need for ET tube or trach
- Decreases nosocomial infection risk
Advantages of pressure-cycled ventilation Correct Answer
Easier on the patient
Barotrauma is most common in who? Correct Answer Most
common with emphysema patients
- Overdistended alveoli can't participate in exchange
, Complication of mechanical ventilation: BAROTRAUMA
Correct Answer Trauma to airway or lung structures due to
high pressures.
Complication of mechanical ventilation: GI COMPLICATIONS
Correct Answer - Cholecystitis
- Aspiration of enteral feedings
- Decreased GI motility
- GI bleeds
- Stress ulcers
Complication of mechanical ventilation: OXYGEN TOXICITY
Correct Answer PaO2 > 100
- Makes weaning from ventilator difficult
Complications of suctioning Correct Answer - Atelectasis
- Bleeding, infection, trauma
- Bradycardia (vagus nerve can be stimulated)
- HTN & hypotension
- Increased ICP
- O2 desat from holding breath**
Considerations of mechanical ventilation suctioning Correct
Answer - STERILE
- Should be done when NEEDED, not routinely
- No longer than 15 seconds if increased ICP
Contraindications for noninvasive positive-pressure ventilators
Correct Answer - Respiratory arrest
- Serious dysrhythmias
- Cognitive impairment
