Exam (elaborations)

ATI CRITICAL CARE PROCTORED EXAM

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Course
CRITICAL CARE (CRITICALCARE)

Institution
Chamberlain College Of Nursing

ATI CRITICAL CARE PROCTORED EXAM ATI CRITICAL CARE PROCTORED EXAM ATI CRITICAL CARE PROCTORED EXAM 1.Before PFT's how long should a patient refrain from smoking? Using an inhaler? 2. What test must you do before performing an arterial puncture? 3. How long should one apply pressure after a...

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Uploaded on March 6, 2022
Number of pages 67
Written in 2021/2022
Type Exam (elaborations)
Contains Questions & answers

how long should one app
ati critical care proctored exam
before pfts how long should a patient refrain from smoking using an inhaler
what test must you do before performing an arterial puncture

Institution
Chamberlain College Of Nursing
Course
CRITICAL CARE (CRITICALCARE)

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ATI CRITICAL CARE PROCTORED EXAM

1.Before PFT's how long should a patient refrain from smoking? Using an inhaler?

smoking: 6-8 h

inhaler: 4-6 h

2. What test must you do before performing an arterial puncture?

Allen's test; patency of the ulnar artery- if blood returns to hand in 15s, then the

radial artery can be used for the puncture

3. How long should one apply pressure after an arterial puncture?

5 minutes (20 min if the patient is on anticoagulant therapy)

4. What are the normal ranges for ABG's?

(pH, PAO2, PACO2, HCO3, and SAO2)

pH: 7.35-7.45

PAO2: 80-100 mm Hg

PACO2: 35-45 mm Hg

HCO3: 21-28 mEq/L

SAO2: 95-100%

5.In what position should you place a patient if air embolism is expected?

,left side in trendelenburg

6. How long must a patient be NPO before a bronchoscopy?

4-8 hr

What types of medications might one administer prior to a bronchoscopy?

anxiolytics

atropine (to treat bradycardia)

viscous lidocaine

local anesthetic throat spray

What should you be monitoring a patient for after a bronchoscopy?

significant fever (mild is ok up to 24 hrs after the procedure), productive cough,

significant blood in sputum (small amounts are to be expected), hypoxemia,

laryngspasm

Prior to a thoracentesis what diagnostic procedure must be done?

CXR

What position should the patient be in for a thoracentesis?

sitting up over the bedside table

,What are possible complications of a thoracentesis? How do we tell patients to

identify pneumothorax?

mediastinal shifts

pneumothorax (deviated trachea, pain at the end of inhalation or exhalation,

affected side not moving with breath, increased HR, shallow respirations, nagging

cough, air hunger)

In what chest tube chamber (ONLY) should you see bubbling?

suction

What is excessive drainage from a chest tube?

more than 70 ml/hr

How should the nurse document for care following a chest tube? How often?

color and amount of drainage qh for 24h after insertion, then q8h

mark date, hour, and drainage level on the container at the end of each shift

What supplies should be kept at the side of a bed for a patient with a chest tube?

2 enclosed hemostats, sterile water, occlusive dressing

What should the nurse instruct the patient to do during chest tube removal?

valsalva maneuver

, What should the nurse do in the case that a chest tube is disconnected?

1. have the client exhale as much as they can to remove air from the pleural space

2. immerse the end of the chest tube in sterile water to restore the water seal

3. apply dry sterile gauze

What is the FiO2 and the flow rate for a nasal cannula? at what rate do we need to

administer humidification?

24-44%

1-6 L/min

humidification at 4 L/min

What is the FiO2 and the flow rate for a simple face mask?

40-60%

5-8 L/min (less than this causes the patient to rebreathe CO2)

What is the FiO2 and the flow rate for a partial rebreather mask?

40-75%

6-11 L/min

What is the FiO2 and the flow rate for a non-rebreather?

80-95%

10-15 L/min

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