Terms in this set (62)
,A 19 year-old patient being 3
administered PEEP begins to At this time, the nurse should obtain a respiratory therapy
have copious amounts of consult. Any break in the closed ventilator system causes the
secretions that she says she loss of PEEP, so respiratory therapy needs to be consulted to
"just cannot cough up." Which add in-line suctioning.
of the following nursing actions
is most appropriate at this time?
1) Assess the patient further and
utilize bedside suction
equipment.
2) Assess O2 sats and continue
to monitor patient if results are
95% or above.
3) Obtain respiratory therapy
consult.
4) Obtain an order for a
mucolytic agent from the
physician.
,A 68-yr-old male patient D
diagnosed with sepsis is orally
intubated on mechanical
ventilation. Which nursing
action is most important?
a. Use the open-suctioning
technique.
b. Administer morphine for
discomfort.
c. Limit noise and cluster care
activities.
d. Elevate the head of the bed
30 degrees.
, The acute medical nurse is B
preparing to wean a patient
from the ventilator. Which
assessment parameter is most
important for the nurse to
assess?
A) Fluid intake for the last 24
hours
B) Baseline arterial blood gas
(ABG) levels
C) Prior outcomes of weaning
D) Electrocardiogram (ECG)
results