NUR 265 Exam 2 Questions with Correct Answers 100% Verified Graded A+ How is an ET tube placement confirmed? - Correct Answer From first to last ETCO2 20-40mmHg Chest symmetry Listen to left/right/abdomen Chest X-Ray Describe the A/C vent mode. - Correct Answer The vent does everything for the patient.It delivers a set amount of breaths per minute Describe SIMV vent mode. - Correct Answer The pt attempts to breath and the vent assists with their breaths What are the different ventilator settings? - Correct Answer Mode FiO2 Rate Tidal Volume (Vt) PEEP What is PEEP? - Correct Answer It is positive pressure that tells the alveoli in the lungs to stay open a little longer. It helps with gas exchange.What are some complications of PEEP? - Correct Answer Pneumothorax SubQ Emphysema (crepatus) Decreased pre-load What are the 3 buttons that a nurse is able to touch on a vent? - Correct Answer Silence Restart 100% Oxygen (before suctioning a patient) When is it acceptable to shut off a vent alarm? - Correct Answer NEVER What should be done when a patient is in respiratory distress? - Correct Answer *Call for help, disconnect the vent, start bagging the patient, then reassess* What are ways to prevent VAP? - Correct Answer *Remove water from circuits* *HOB up to 30 degrees* Turn Q2h Suction Oral care Q2H Prevent aspiration Lip moisturizer 1 / 2
Percussion Give examples of what could cause a high pressure alarm. - Correct Answer Blocked airway Coughing Tension pneumothorax
Anxiety/Pain: Sedate them
Kinks in tubing
Decreased lung compliance: ARDS
*Assess the patient not the monitor* Give examples of what could cause a low pressure alarm. - Correct Answer Not getting enough air (in or out)
Air leak in the cuff: Check the pilot balloon
Disconnected tubing Low Vt *Assess the patient not the monitor* What are some things we have to do when caring for a vented patient? - Correct Answer Lung assessment Frequent vital signs (every 4 hours) I&O (look at balances) Foley NPO Nutrition (NG Tube for all vent patients) Skin Care Monitor ABG/labs VTE prophylaxis What are some risk factors for a PE? - Correct Answer Immobility Central Lines Surgery Obesity DVT's Birth Control Pills Smoking What is the best way to prevent a PE? - Correct Answer *Move the patient post op.* What should be done immediately after the nurse notes s/s of a PE? - Correct Answer *Notify the Rapid Response Team*
What are ways to manage the symptoms of a PE? - Correct Answer ABC: might need
intubation
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