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NUR 431 Quizzes Complete Answers
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NUR 431 Quizzes Complete Answers
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NUR 431 Quizzes Complete AnswersIf your pt. accidentally removes their chest tube, you should immediately? - Answer-
Cover w/ gauze dressing taped on 3 sides.
If continuous bubbling is noticed in the WATER-SEAL chamber, this could indicate? -
Answer-An Air leak
The optimal position to place a pt. in during the discontinuation of a central line? -
Answer-Trendelenburg
After the placement of CVL in the right subclavian vein, the pt. starts complaining of
SOB and their O2 saturation starts to drop. Which complication is most likely? - Answer-
Pneumothorax
In order to prevent nosocomial infection of a CVL, the nurse should? - Answer-Group
multiple blood draws together
Steps to remove a CVL include? - Answer-Have the pt. perform the Valslava maneuver
during removal.
The nurse is unable to flush a CVL and suspects occlusion. The best intervention
should be to? - Answer-instruct the pt. to change positions, raise arm and cough
In order to maintain catheter patency and adequate waveforms, the pressure bag
should be inflated to? - Answer-300 mmHg
Correct frequency for trach. care? - Answer-every 24 hrs. and PRN
Documentation for a pt. receiving routine trach. care should include: - Answer-Stoma
conditions, type and size, amount of secretions
What is the most reliable method of confirming and monitoring correct placement of an
ET tube? - Answer-Continuous wave form and capnography
Which of the following is pressure-targeted ventilator mode? - Answer-Pressure-Support
ventilation (PSV)
Which of the following is a volume-targeted ventilator mode? - Answer-Synchronized
intermittent mandatory ventilation (SIMV)
What is the appropriate ventilation strategy for an adult in respiratory arrest w/ a pulse
rate of 80/min - Answer-1 breath q 5-6 seconds
What alarm is associated w/ a blocked or kinked ET tube - Answer-high pressure alarm
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