Exam 9: Ventilatory Assistance
Exam 1: Overview of Critical Care Nursing24 Questions
Exam 2: Patient and Family Response to the Critical Care Experience28 Questions
Exam 3: Ethical and Legal Issues in Critical Care Nursing23 Questions
Exam 4: End-Of-Life Care in the Critical Care Unit26 Questions
Exam 5: Comfort and Sedation33 Questions
Exam 6: Nutritional Support30 Questions
Exam 7: Dysrhythmia Interpretation and Management59 Questions
Exam 8: Hemodynamic Monitoring35 Questions
Exam 9: Ventilatory Assistance36 Questions
Exam 10: Rapid Response Teams and Code Management31 Questions
Exam 11: Shock, sepsis, and Multiple Organ Dysfunction Syndrome34 Questions
Exam 12: Cardiovascular Alterations37 Questions
Exam 13: Nervous System Alterations35 Questions
Exam 14: Acute Respiratory Failure36 Questions
Exam 15: Acute Kidney Injury50 Questions
Exam 16: Hematological and Immune Disorders55 Questions
Exam 17: Gastrointestinal Alterations52 Questions
Exam 18: Endocrine Alterations35 Questions
Exam 19: Trauma and Surgical Management31 Questions
Exam 20: Burns31 Questions
Exam 21: Solid Organ Transplantation35 Questions
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A patient is being mechanically ventilated in the synchronized intermittent mandatory ventilation mode at a rate of 4 breaths/min.His spontaneous respirations are 12 breaths/min.He receives a dose of morphine sulfate,and his respirations decrease to 4 breaths/min.Which acid-base disturbance will likely occur?
(Multiple Choice)
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When assessing the patient for hypoxemia,the nurse recognizes that an early sign of the effect of hypoxemia on the cardiovascular system is:
(Multiple Choice)
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Which of the following devices is best suited to deliver 65% oxygen to a patient who is spontaneously breathing?
(Multiple Choice)
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The nurse is caring for a mechanically ventilated patient and responds to a high inspiratory pressure alarm.Recognizing possible causes for the alarm,the nurse assesses for which of the following? (Select all that apply.)
(Multiple Choice)
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The nurse is assisting with endotracheal intubation of the patient and recognizes that the procedure will be done in what order: _______________,_______________,_______________,_______________,_______________? (Put a comma and space between each solve choice.)
A)Assess balloon on endotracheal tube for symmetry and leaks.
B)Assess lung fields for bilateral expansion.
C)Inflate balloon of endotracheal tube.
D)Insert endotracheal tube with laryngoscope and blade.
E)Suction oropharynx.
(Short Answer)
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The nurse is caring for a patient with an endotracheal tube.The nurse understands that endotracheal suctioning is needed to facilitate removal of secretions and that the procedure:
(Multiple Choice)
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The physician orders the following mechanical ventilation settings for a patient who weighs 75 kg.The patient's spontaneous respiratory rate is 22 breaths/min.What arterial blood gas abnormality may occur if the patient continues to be tachypneic at these ventilator settings? Settings:
Tidal volume: 600 mL (8 mL per kg)
FiO2: 0.5
Respiratory rate: 14 breaths/min
Mode assist/control
Positive end-expiratory pressure: 10 cm H2O
(Multiple Choice)
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The nurse is caring for a patient who is mechanically ventilated.As part of the nursing care,the nurse understands that:
(Multiple Choice)
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A 65-year-old patient is admitted to the progressive care unit with a diagnosis of community-acquired pneumonia.The patient has a history of chronic obstructive pulmonary disease and diabetes.A set of arterial blood gases obtained on admission without supplemental oxygen shows pH 7.35; PaCO2 55 mm Hg; bicarbonate 30 mEq/L; PaO2 65 mm Hg.These blood gases reflect:
(Multiple Choice)
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A patient presents to the emergency department demonstrating agitation and complaining of numbness and tingling in his fingers.His arterial blood gas levels reveal the following: pH 7.51,PaCO2 25,HCO3 25.The nurse interprets these blood gas values as:
(Multiple Choice)
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A mode of pressure-targeted ventilation that provides positive pressure to decrease the workload of spontaneous breathing through the endotracheal tube is:
(Multiple Choice)
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The amount of effort needed to maintain a given level of ventilation is termed:
(Multiple Choice)
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The nurse is caring for a mechanically ventilated patient.The physicians are considering performing a tracheostomy because the patient is having difficulty weaning from mechanical ventilation.Related to tracheostomy,the nurse understands which of the following?
(Multiple Choice)
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Positive end-expiratory pressure (PEEP)is a mode of ventilatory assistance that produces the following condition:
(Multiple Choice)
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