Eventually ______ sided heart failure will lead to an elevated _______. -answer-right
sided HF will eventually lead to increased CVP
decreased CVP can be from -answer-hypovolemia
True/False
Medication can be administered through an a-line -answer-False: no medications are to
be given via a-line
Arterial line waveform:
-Overdampened
-Underdampened -answer--dicrotic notch on the downslope
-overdampened: air bubbles, blood clots, kinked tubing, loose connections
-underdampened:excessive tubing length or too many stopcocks
How long should pressure be held when removing an a-line -answer-5-10 minutes
Why would a ventilators high pressure alarm be sounding -answer-increased
secretions or mucus plugs
patient biting on the tube
coughing or trying to talk
pulmonary edema
*anything that would cause decreased airway compliance
Why would a ventilators low pressure alarm be sounding -answer-not enough air
moving through the ventilator circuit
*most commonly due to disconnection of tubing
You have a patient that just received thoracic surgery.
-You should observe/assess for?
-how much is considered excess drainage output for this patient post op
-how do you know it is working properly
-you should never..... -answer--assess for air leaks, chest tube drainage quality, breath
sounds
-anything greater than 150ml/hr is excessive drainage
-the water seal chamber should fluctuate with respiration, but there should not be
bubbles
-never raise the chest tube drainage system above the level of the chest
in a chest tube what breath sound would indicate atelectasis -answer-diminished
After a patient is intubated you should? -answer-get an x-ray to confirm placement and
confirmed by a physician
RN should listen for bilateral breath sounds
, When caring for patients with ETT or trach always assess -answer-placement and cuff
function
Your patient with an ETT is making audible sounds (or can be a trach without a passy-
mauir valve) it is most likely related to.... -answer-the cuff is deflated which allows air to
pass through the vocal cords
In a patient with any kind of chest trauma ALWAYS assess for symptoms of -answer-
pneumothorax
impaired gas exchange, SOB
S/s of tension pneumothorax -answer-deviated trachea, acute respiratory distress
trauma patients are at risk for developing _____ embolisms, especially those with long
bone fractures. -answer-fat
S/s of fat embolus -answer-may develop after surgery
SOB, tachycardia, petechiae over upper body
Your patient has diminished breath sounds and you notice limited movement of their
chest. This can indicate possible atelectasis due to ____________ -answer-
hypoventilation
ABG Interpretation -answer-pH: 7.35-7.45
PaCO2: 35-45
HCO3: 22-26
(ROME)
What antibiotics are given to TB patients -answer-INH, Rifampin, Rocephin
What antibiotics should be renal-dosed -answer-Vancomycin, gentamycin, and
tobramycin
Before suctioning a patient be sure the vacuum pressure is set to -answer-120
PPE for suctioning with a open sterile system -answer-mask, eye protection, gloves
Most important intervention for a patient with cervical spinal cord injury is to -answer-
immobilize the head and neck
You have just received an patient with a high level SCI what are you concerned with
and why -answer-respirations
high level spinal cord injuries could lead to paralysis/dysfunction of the respiratory
muscles and cause respiratory arrest
sided HF will eventually lead to increased CVP
decreased CVP can be from -answer-hypovolemia
True/False
Medication can be administered through an a-line -answer-False: no medications are to
be given via a-line
Arterial line waveform:
-Overdampened
-Underdampened -answer--dicrotic notch on the downslope
-overdampened: air bubbles, blood clots, kinked tubing, loose connections
-underdampened:excessive tubing length or too many stopcocks
How long should pressure be held when removing an a-line -answer-5-10 minutes
Why would a ventilators high pressure alarm be sounding -answer-increased
secretions or mucus plugs
patient biting on the tube
coughing or trying to talk
pulmonary edema
*anything that would cause decreased airway compliance
Why would a ventilators low pressure alarm be sounding -answer-not enough air
moving through the ventilator circuit
*most commonly due to disconnection of tubing
You have a patient that just received thoracic surgery.
-You should observe/assess for?
-how much is considered excess drainage output for this patient post op
-how do you know it is working properly
-you should never..... -answer--assess for air leaks, chest tube drainage quality, breath
sounds
-anything greater than 150ml/hr is excessive drainage
-the water seal chamber should fluctuate with respiration, but there should not be
bubbles
-never raise the chest tube drainage system above the level of the chest
in a chest tube what breath sound would indicate atelectasis -answer-diminished
After a patient is intubated you should? -answer-get an x-ray to confirm placement and
confirmed by a physician
RN should listen for bilateral breath sounds
, When caring for patients with ETT or trach always assess -answer-placement and cuff
function
Your patient with an ETT is making audible sounds (or can be a trach without a passy-
mauir valve) it is most likely related to.... -answer-the cuff is deflated which allows air to
pass through the vocal cords
In a patient with any kind of chest trauma ALWAYS assess for symptoms of -answer-
pneumothorax
impaired gas exchange, SOB
S/s of tension pneumothorax -answer-deviated trachea, acute respiratory distress
trauma patients are at risk for developing _____ embolisms, especially those with long
bone fractures. -answer-fat
S/s of fat embolus -answer-may develop after surgery
SOB, tachycardia, petechiae over upper body
Your patient has diminished breath sounds and you notice limited movement of their
chest. This can indicate possible atelectasis due to ____________ -answer-
hypoventilation
ABG Interpretation -answer-pH: 7.35-7.45
PaCO2: 35-45
HCO3: 22-26
(ROME)
What antibiotics are given to TB patients -answer-INH, Rifampin, Rocephin
What antibiotics should be renal-dosed -answer-Vancomycin, gentamycin, and
tobramycin
Before suctioning a patient be sure the vacuum pressure is set to -answer-120
PPE for suctioning with a open sterile system -answer-mask, eye protection, gloves
Most important intervention for a patient with cervical spinal cord injury is to -answer-
immobilize the head and neck
You have just received an patient with a high level SCI what are you concerned with
and why -answer-respirations
high level spinal cord injuries could lead to paralysis/dysfunction of the respiratory
muscles and cause respiratory arrest
