Exam 9: Ventilatory Assistance

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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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Oxygen saturation (SaO2)represents:

(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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Pulse oximetry measures:

(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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