Exam 28: Assisting With Mechanical Ventilation

The nurse working in the intensive care unit is assigned a client requiring mechanical ventilation.When responding to the ventilator alarm,the nurse sees a high-pressure alarm.Which nursing action is the priority?

Which task could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

The nurse is providing care for the client requiring mechanical ventilation.Which action by the nurse would be inappropriate when providing care to this client?

When weaning the client from the ventilator,which item would the nurse document in addition to routine assessments performed for any client requiring mechanical ventilation with an artificial airway in place?

The nurse is caring for a client with atelectasis.Which prescription from the health care provider would the nurse anticipate to correct this problem?

The nurse is documenting care for a ventilated client.Which items are appropriate for the nurse to include in the documentation?

The nurse is providing care for a client requiring mechanical ventilation.When the nurse enters the room at the beginning of the shift,the client's monitor displays a heart rate of 64 and oxygen saturation of 88%.Which nursing action is the priority?

The nurse working with a student nurse is providing care for a client requiring mechanical ventilation.The student nurse asks the meaning of assist control.Which response by the nurse is the most appropriate?

Immediately after moving the oral endotracheal airway to the other side of the client's mouth,which action by the nurse is the priority?

The nurse is caring for a client being weaned from the ventilator.When performing a spontaneous breathing trial,which item is not a priority assessment?