Exam 18: Advanced Respiratory Management

The student is caring for a client who has a chest tube. What action by the student requires the faculty to intervene?

A client is on a ventilator and the high-pressure limit alarm is sounding. What does the nurse interpret this to mean?

A client has suffered a cardiopulmonary arrest. Spontaneous circulation was restored but the client remains apneic. What form of mechanical ventilation would this client require?

The nurse notes persistent bubbling in the water seal chamber of a client's chest tube. What action by the nurse is best?

The nurse caring for a client on mechanical ventilation implements the ABCDEF bundle. What activities are most appropriate? (Select all that apply.)

The charge nurse gets a page to go to a client room where the client's nurse states "The client has just self-extubated!" What does the charge nurse understand has happened?

A client is on pressure-controlled mechanical ventilation. Faculty asks the student assigned to the client which parameters are most important to monitor. What answer given by the student indicates the need to review the information?

The nurse has assessed a large clot blocking the flow of drainage in a client's chest tube. What action by the nurse is best?

A nurse reviewing a client's arterial blood gasses would be most concerned about which finding?

A nurse accidentally kicks a client's chest tube drainage system and it falls over. What action by the nurse is best?

A client's ventilator continues to alarm; however, the oxygen saturation is 98% and the client's capnography readings have not changed. The nurse is unable to determine the cause for the alarms. After notifying respiratory therapy to come to the room, what action by the nurse is best?

A nurse is caring for a client in the Intensive Care Unit (ICU) who is on mechanical ventilation and has a tube feeding. What assessment by the nurse indicates a priority goal for this client has been met?

A client's chest tube was dislodged during transfer. What action does the nurse take first?

The new Intensive Care Unit (ICU) nurse is frustrated that the intubated client is not sedated "enough" and wants to request a higher dose from the provider. What does the charge nurse teach about the benefits of lighter sedation? (Select all that apply.)

A client is on a ventilator and the low-pressure alarm is sounding. What actions by the nurse are most appropriate? (Select all that apply.)

Which statement by the student indicates an incorrect understanding of chest tubes?

The nurse measures an intubated client's endotracheal tube (ETT) cuff volume at 23 mmH₂O. What does the nurse interpret this finding to indicate?

A nurse is caring for a patient receiving mechanical ventilation. What actions by the nurse indicate a need to review the ventilator bundle? (Select all that apply.)

An ICU client is anemic. What action by the nurse is best?

The nurse brings a student along to observe a modified Allen's test. What response is best when the nurse is asked for the test's rationale?