MDC4 Test 1 Exam Questions and
Answers 2024 Verified
what are the assessment findings in pneumothorax? - CORRECT ANSWER-● Sudden
dyspnea
● Chest pain
● Feeling of doom/anxiety
● JVD
● Tachy
● Chest petechiae
● ECG changes
● Abnormal heart sounds
what are the s/s of flail chest - CORRECT ANSWER-- paradoxical chest movement
- dyspnea
- cyanosis
- tachycardia
- hypotension
how does the patient usually present with flail chest - CORRECT ANSWER-- anxious
- short of breath
- in pain
what are interventions for flail chest - CORRECT ANSWER-- humidified oxygen
- pain management
- promotion of lung expansion through deep breathing and positioning
- secretion clearance by coughing and tracheal suction
can a person with flail chest recover - CORRECT ANSWER-managable with vigilant
respiratory care
when is mechanical ventilation needed for a patient with flail chest - CORRECT
ANSWER-- respiratory failure
- shock
- severe hypoxemia and hypercarbia
nursing care for flail chest - CORRECT ANSWER-- monitor ABGs
- monitor vitals
with flail chest, what causes increase the risk of respiratory failure - CORRECT
ANSWER-- lung contusion
- underlying pulmonary disease
, how is flail chest usually stabilized - CORRECT ANSWER-positive pressure ventilation
what interventions are needed for low BP - CORRECT ANSWER-- fluid replacement
- Trendelenburg
- compression stockings
- medication
what causes a high pressure vent alarm - CORRECT ANSWER-- thick
mucus/secretions blocking the airway
- coughing
- biting on tube
- fighting vent
- wheezing
- bronchospasms
- pneumothorax
- displaced tube
- obstruction
- water in vent circuit
what causes a low pressure vent alarm - CORRECT ANSWER-- leak in circuit
- cuff leak
- patient disconnected
*apnea alarm*
possible interventions for high pressure vent alarm - CORRECT ANSWER-- check
patient first!
- check all tubing is connected and not kinked
- suction patient
- medication for pain, anxiety, sedation
- change vent settings
what causes increased or thick secretions/mucus in a patient who is intubated -
CORRECT ANSWER-not enough humidity
possible interventions for low pressure vent alarms - CORRECT ANSWER-- check
patient first!
- manually bag patient
- reconnect/unkink tubing
nursing care of ventilated patient - CORRECT ANSWER-- q2-4 respiratory assessment,
oral care, suctioning if needed
- q4 head to toe assessment and vitals
- maintain head of bed 30 degrees
- q2 turns
- monitor I&O
- collaborate with RT
Answers 2024 Verified
what are the assessment findings in pneumothorax? - CORRECT ANSWER-● Sudden
dyspnea
● Chest pain
● Feeling of doom/anxiety
● JVD
● Tachy
● Chest petechiae
● ECG changes
● Abnormal heart sounds
what are the s/s of flail chest - CORRECT ANSWER-- paradoxical chest movement
- dyspnea
- cyanosis
- tachycardia
- hypotension
how does the patient usually present with flail chest - CORRECT ANSWER-- anxious
- short of breath
- in pain
what are interventions for flail chest - CORRECT ANSWER-- humidified oxygen
- pain management
- promotion of lung expansion through deep breathing and positioning
- secretion clearance by coughing and tracheal suction
can a person with flail chest recover - CORRECT ANSWER-managable with vigilant
respiratory care
when is mechanical ventilation needed for a patient with flail chest - CORRECT
ANSWER-- respiratory failure
- shock
- severe hypoxemia and hypercarbia
nursing care for flail chest - CORRECT ANSWER-- monitor ABGs
- monitor vitals
with flail chest, what causes increase the risk of respiratory failure - CORRECT
ANSWER-- lung contusion
- underlying pulmonary disease
, how is flail chest usually stabilized - CORRECT ANSWER-positive pressure ventilation
what interventions are needed for low BP - CORRECT ANSWER-- fluid replacement
- Trendelenburg
- compression stockings
- medication
what causes a high pressure vent alarm - CORRECT ANSWER-- thick
mucus/secretions blocking the airway
- coughing
- biting on tube
- fighting vent
- wheezing
- bronchospasms
- pneumothorax
- displaced tube
- obstruction
- water in vent circuit
what causes a low pressure vent alarm - CORRECT ANSWER-- leak in circuit
- cuff leak
- patient disconnected
*apnea alarm*
possible interventions for high pressure vent alarm - CORRECT ANSWER-- check
patient first!
- check all tubing is connected and not kinked
- suction patient
- medication for pain, anxiety, sedation
- change vent settings
what causes increased or thick secretions/mucus in a patient who is intubated -
CORRECT ANSWER-not enough humidity
possible interventions for low pressure vent alarms - CORRECT ANSWER-- check
patient first!
- manually bag patient
- reconnect/unkink tubing
nursing care of ventilated patient - CORRECT ANSWER-- q2-4 respiratory assessment,
oral care, suctioning if needed
- q4 head to toe assessment and vitals
- maintain head of bed 30 degrees
- q2 turns
- monitor I&O
- collaborate with RT
