Question 1

Nursing interventions to limit the complications of suctioning include

Accepted Answer

A)  inserting the suction catheter no more than 5 inches. 
B)  premedicating the patient with atropine. 
C)  hyperoxygenating the patient with 100% oxygen. 
D)  increasing the suction to 150 mm Hg. 
A)  inserting the suction catheter no more than 5 inches. 
B)  premedicating the patient with atropine. 
C)  hyperoxygenating the patient with 100% oxygen. 
D)  increasing the suction to 150 mm Hg.

Question 2

Preset positive pressure used to augment the patient's inspiratory effort is known as

Accepted Answer

A)  positive end-expiratory pressure (PEEP). 
B)  continuous positive airway pressure (CPAP). 
C)  pressure control ventilation (PCV). 
D)  pressure support ventilation (PSV). 
A)  positive end-expiratory pressure (PEEP). 
B)  continuous positive airway pressure (CPAP). 
C)  pressure control ventilation (PCV). 
D)  pressure support ventilation (PSV).

Question 3

Which medication may be administered with a bronchodilator because it can cause bronchospasms?

Accepted Answer

A)  b2-Agonists 
B)  Mucloytics 
C)  Anticholinergic agents 
D)  Xanthines 
A)  b2-Agonists 
B)  Mucloytics 
C)  Anticholinergic agents 
D)  Xanthines

Question 4

Which of the following statements are true regarding rotational therapy?

Accepted Answer

A)  Continuous lateral rotation therapy (CLRT) can be effective for improving oxygenation if used for at least 18 hours/day. 
B)  Kinetic therapy can decrease the incidence of ventilator-acquired pneumonia in neurologic and postoperative patients. 
C)  Use of rotational therapy eliminates the need for other pressure ulcer prevention strategies. 
D)  CLRT helps avoid hemodynamic instability secondary to the continuous, gentle turning of the patient. 
E)  CLRT has minimal pulmonary benefits for critically ill patients. 
A)  Continuous lateral rotation therapy (CLRT) can be effective for improving oxygenation if used for at least 18 hours/day. 
B)  Kinetic therapy can decrease the incidence of ventilator-acquired pneumonia in neurologic and postoperative patients. 
C)  Use of rotational therapy eliminates the need for other pressure ulcer prevention strategies. 
D)  CLRT helps avoid hemodynamic instability secondary to the continuous, gentle turning of the patient. 
E)  CLRT has minimal pulmonary benefits for critically ill patients.

Question 5

Which of the following statements best describes the effects of positive-pressure ventilation on cardiac output?

Accepted Answer

A)  Positive-pressure ventilation increases intrathoracic pressure, which increases venous return and cardiac output. 
B)  Positive-pressure ventilation decreases venous return, which increases preload and cardiac output. 
C)  Positive-pressure ventilation increases venous return, which decreases preload and cardiac output. 
D)  Positive-pressure ventilation increases intrathoracic pressure, which decreases venous return and cardiac output. 
A)  Positive-pressure ventilation increases intrathoracic pressure, which increases venous return and cardiac output. 
B)  Positive-pressure ventilation decreases venous return, which increases preload and cardiac output. 
C)  Positive-pressure ventilation increases venous return, which decreases preload and cardiac output. 
D)  Positive-pressure ventilation increases intrathoracic pressure, which decreases venous return and cardiac output.

Question 6

A patient was taken to surgery for a left lung resection earlier today.The patient has been in the postoperative care unit for 30 minutes.When you are completing your assessment, you notice that the chest tube has drained 125 cc of red fluid in the past 30 minutes.The nurse contacts the physician and suspects that the patient has developed

Accepted Answer

A)  pulmonary edema. 
B)  hemorrhage. 
C)  acute lung failure. 
D)  bronchopleural fistula. 
A)  pulmonary edema. 
B)  hemorrhage. 
C)  acute lung failure. 
D)  bronchopleural fistula.

Question 7

Which of the following arterial blood gas values would indicate a need for oxygen therapy?

Accepted Answer

A)  PaO2 of 80 mm Hg 
B)  PaCO2 of 35 mm Hg 
C)  HCO3- of 24 mEq 
D)  SaO2 of 87% 
A)  PaO2 of 80 mm Hg 
B)  PaCO2 of 35 mm Hg 
C)  HCO3- of 24 mEq 
D)  SaO2 of 87%

Question 8

Indications to support a pneumonectomy are

Accepted Answer

A)  lesions confined to a single lobe. 
B)  bronchiectasis. 
C)  unilateral tuberculosis. 
D)  lung abscesses or cyst. 
A)  lesions confined to a single lobe. 
B)  bronchiectasis. 
C)  unilateral tuberculosis. 
D)  lung abscesses or cyst.

Question 9

A patient was admitted to the critical care unit with acute respiratory failure.The patient has been on a ventilator for 3 days and is being considered for weaning.The ventilator high-pressure alarm keeps going off.When you enter the room, the ventilator inoperative alarm sounds.Which of the following criteria would indicate that the patient is not tolerating weaning?

Accepted Answer

A)  A decrease in heart rate from 92 to 80 beats/min 
B)  An SpO2 of 92% 
C)  An increase in respiratory rate from 22 to 38 breaths/min 
D)  Spontaneous tidal volumes of 300 to 350 mL 
A)  A decrease in heart rate from 92 to 80 beats/min 
B)  An SpO2 of 92% 
C)  An increase in respiratory rate from 22 to 38 breaths/min 
D)  Spontaneous tidal volumes of 300 to 350 mL

Question 10

The therapeutic blood level for theophylline (Xanthines)is

Accepted Answer

A)  5 to 10 mg/dL. 
B)  10 to 20 mg/dL. 
C)  20 to 30 mg/dL. 
D)  35 to 45 mg/dL. 
A)  5 to 10 mg/dL. 
B)  10 to 20 mg/dL. 
C)  20 to 30 mg/dL. 
D)  35 to 45 mg/dL.

Nursing interventions to limit the complications of suctioning include

Preset positive pressure used to augment the patient's inspiratory effort is known as

Which medication may be administered with a bronchodilator because it can cause bronchospasms?

Which of the following statements are true regarding rotational therapy?

Which of the following statements best describes the effects of positive-pressure ventilation on cardiac output?

Which of the following arterial blood gas values would indicate a need for oxygen therapy?

Indications to support a pneumonectomy are

The therapeutic blood level for theophylline (Xanthines)is

Caring for the Critically Ill Patient

Ethical and Legal Issues

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations

Nutritional Alterations

Gerontological Alterations

Pain and Pain Management

Sedation, Agitation and Delirium Management

End of Life Care

Cardiovascular Clinical Assessment and Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Clinical Assessment and Diagnostic Procedures

Pulmonary Disorders

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock, Sepsis, and Multiple Organ Dysfunction Syndrome

Hematologic Disorders and Oncologic Emergencies

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Exam 16: Pulmonary Therapeutic Management

Nursing interventions to limit the complications of suctioning include

Preset positive pressure used to augment the patient's inspiratory effort is known as

Which medication may be administered with a bronchodilator because it can cause bronchospasms?

Which of the following statements are true regarding rotational therapy?

Which of the following statements best describes the effects of positive-pressure ventilation on cardiac output?

Which of the following arterial blood gas values would indicate a need for oxygen therapy?

Indications to support a pneumonectomy are

The therapeutic blood level for theophylline (Xanthines)is

Caring for the Critically Ill Patient

Ethical and Legal Issues

Patient and Family Education

Psychosocial and Spiritual Alterations and Management

Sleep Alterations

Nutritional Alterations

Gerontological Alterations

Pain and Pain Management

Sedation, Agitation and Delirium Management

End of Life Care

Cardiovascular Clinical Assessment and Diagnostic Procedures

Cardiovascular Disorders

Cardiovascular Therapeutic Management

Pulmonary Clinical Assessment and Diagnostic Procedures

Pulmonary Disorders

Neurologic Clinical Assessment and Diagnostic Procedures

Neurologic Disorders and Therapeutic Management

Kidney Clinical Assessment and Diagnostic Procedures

Kidney Disorders and Therapeutic Management

Gastrointestinal Clinical Assessment and Diagnostic Procedures

Gastrointestinal Disorders and Therapeutic Management

Endocrine Clinical Assessment and Diagnostic Procedures

Endocrine Disorders and Therapeutic Management

Trauma

Shock, Sepsis, and Multiple Organ Dysfunction Syndrome

Hematologic Disorders and Oncologic Emergencies

Filters