SOLVED

Chapter 6 Question 1 A patient in the emergency department (ED) becomes suddenly unresponsive. CPR is initiated. Arterial blood gas results reveal pH 7.225, PaCO2 55, HCO3 15, PaO2 45, SaO2 76 percent. The nurse would prepare for which priority intervention? 1. Call for a rapid response team. 2. Auscultate the patient’s lungs. 3. Place the patient on a 50 percent humidified mask. 4. Administer endotracheal intubation. Question 2 An adult patient has suffered a respiratory arrest and requires endotracheal intubation. The nurse should obtain which equipment for this procedure? 1. Topical anesthetic 2. Magill forceps 3. Cuffless endotracheal tube 4. Oxygen cannula 5. Water-soluble lubricant Question 3 A patient aspirated while eating and suffered a respiratory arrest. A code blue was called, the obstruction was removed, but the patient required endotracheal intubation. Postintubation the nurse hears breath sounds bilaterally, but the carbon dioxide monitor indicates a higher than expected level. Which patient history could account for this discrepancy? 1. The patient’s original admittance diagnosis was dehydration. 2. The patient’s wife reports, “We were talking and laughing when he choked.” 3. The patient has history of calcium deficiency requiring dietary supplementation. 4. The patient’s wife says, “He had some heartburn earlier, so the nurse had given him a lemon-lime soda to drink with his supper.” Question 4 The nurse manager teaches newly hired nurses about findings associated with barotrauma. The manager would include that this complication is most common in which type of mechanical ventilation? 1. Volume 2. Time 3. Pressure 4. Flow Question 5 The nurse notes these ventilator setting change orders. What nursing intervention is indicated? 1. Carry out the orders as written. 2. Verify the respiratory rate. 3. Verify the mode. 4. Verify the tidal volume. Question 6 The nurse caring for a patient who is ventilated via the assist-control mode monitors for which complication specifically related to this intervention? 1. Pneumonia 2. Anxiety 3. Pneumothorax 4. Respiratory alkalosis Question 7 The nurse is admitting a patient who sustained a traumatic brain injury and who is now deeply sedated. The nurse would anticipate managing which mode of ventilation during this patient’s initial care? 1. Pressure support ventilation 2. Assist-control ventilation 3. Pressure support ventilation (PSV) 4. Synchronized intermittent mandatory ventilation (SIMV) Question 8 The nurse is preparing to care for a patient returning from elective surgery who will require mechanical ventilation for a few more hours. The nurse would initiate which ventilator setting orders without question? 1. SIMV with a rate of 12, tidal volume 750 mL, FIO2 0.60 2. Assist-control with a rate of 16, tidal volume 1,000 mL, FIO2 0.40 3. Assist-control with a rate of 20, tidal volume 1,200 mL, FIO2 0.60 4. SIMV with a rate of 4, tidal volume 1,200 mL, FIO2 0.60 Question 9 A patient’s ventilator settings are going to be modified to include positive end expiratory pressure (PEEP). What nursing action is most important? 1. Suction the patient before and after the change. 2. Monitor vital signs frequently. 3. Notify the physician of abrupt increases in oxygenation. 4. Monitor breath sounds at least every 15 minutes. Question 10 The nurse responds to a ventilator pressure alarm by going to the patient’s room. What should be the nurse’s first action? 1. Turn off the ventilator alarm to help calm the patient. 2. Administer intravenous sedation according to prn prescription. 3. Assess for the cause of the alarm. 4. Manually bag the patient until the cause of the alarm is detected.