ATI Test Bank, Infectious Respiratory Disorders Exam Questions & 100% Correct Answers (All Explained)
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ATI, Infectious Respiratory Disorders
ATI Test Bank, Infectious Respiratory Disorders Exam Questions & 100% Correct Answers (All Explained)-The nurse caring for a patient with an endotracheal tube recognizes several disadvantages of an endotracheal tube. What would the nurse recognize as a disadvantage of endotracheal tubes?
A) Cogn...
ATI Test Bank, Infectious Respiratory Disorders Exam Questions &
100% Correct Answers (All Explained)
The nurse caring for a patient with an endotracheal tube recognizes several disadvantages of an
endotracheal tube. What would the nurse recognize as a disadvantage of endotracheal tubes?
A) Cognition is decreased.
B) Daily arterial blood gases (ABGs) are necessary.
C) Slight tracheal bleeding is anticipated.
D) The cough reflex is depressed. - Ans: D
Feedback:
There are several disadvantages of an endotracheal tube. Disadvantages include suppression of
the patient's cough reflex, thickening of secretions, and depressed swallowing reflexes.
Ulceration and stricture of the larynx or trachea may develop, but bleeding is not an expected
finding. The tube should not influence cognition and daily ABGs are not always required.
What would the critical care nurse recognize as a condition that may indicate a patient's need to
have a tracheostomy?
A) A patient has a respiratory rate of 10 breaths per minute.
B) A patient requires permanent ventilation.
C) A patient exhibits symptoms of dyspnea.
D) A patient has respiratory acidosis. - Ans: B
Feedback:
A tracheostomy permits long-term use of mechanical ventilation to prevent aspiration of oral and
gastric secretions in the unconscious or paralyzed patient. Indications for a tracheostomy do not
include a respiratory rate of 10 breaths per minute, symptoms of dyspnea, or respiratory acidosis.
The medical nurse is creating the care plan of an adult patient requiring mechanical ventilation.
What nursing action is most appropriate?
A) Keep the patient in a low Fowler's position.
B) Perform tracheostomy care at least once per day.
,C) Maintain continuous bedrest.
D) Monitor cuff pressure every 8 hours. - Ans: D
Feedback:
The cuff pressure should be monitored every 8 hours. It is important to perform tracheostomy
care at least every 8 hours because of the risk of infection. The patient should be encouraged to
ambulate, if possible, and a low Fowler's position is not indicated.
5. The nurse is caring for a patient who is scheduled to have a thoracotomy. When planning
preoperative teaching, what information should the nurse communicate to the patient?
A) How to milk the chest tubing
B) How to splint the incision when coughing
C) How to take prophylactic antibiotics correctly
D) How to manage the need for fluid restriction - Ans: B
Feedback:
Prior to thoracotomy, the nurse educates the patient about how to splint the incision with the
hands, a pillow, or a folded towel. The patient is not taught how to milk the chest tubing because
this is performed by the nurse. Prophylactic antibiotics are not normally used and fluid restriction
is not indicated following thoracotomy.
A nurse is educating a patient in anticipation of a procedure that will require a water-sealed chest
drainage system. What should the nurse tell the patient and the family that this drainage system
is used for?
A) Maintaining positive chest-wall pressure
B) Monitoring pleural fluid osmolarity
C) Providing positive intrathoracic pressure
D) Removing excess air and fluid - Ans: D
Feedback:
, Chest tubes and closed drainage systems are used to re-expand the lung involved and to remove
excess air, fluid, and blood. They are not used to maintain positive chest-wall pressure, monitor
pleural fluid, or provide positive intrathoracic pressure.
A patient is exhibiting signs of a pneumothorax following tracheostomy. The surgeon inserts a
chest tube into the anterior chest wall. What should the nurse tell the family is the primary
purpose of this chest tube?
A) To remove air from the pleural space
B) To drain copious sputum secretions
C) To monitor bleeding around the lungs
D) To assist with mechanical ventilation - Ans: A
Feedback:
Chest tubes and closed drainage systems are used to re-expand the lung involved and to remove
excess air, fluid, and blood. The primary purpose of a chest tube is not to drain sputum
secretions, monitor bleeding, or assist with mechanical ventilation.
The critical care nurse is precepting a new nurse on the unit. Together they are caring for a
patient who has a tracheostomy tube and is receiving mechanical ventilation. What action should
the critical care nurse recommend when caring for the cuff?
A) Deflate the cuff overnight to prevent tracheal tissue trauma.
B) Inflate the cuff to the highest possible pressure in order to prevent aspiration.
C) Monitor the pressure in the cuff at least every 8 hours
D) Keep the tracheostomy tube plugged at all times. - Ans: C
Feedback:
Cuff pressure must be monitored by the respiratory therapist or nurse at least every 8 hours by
attaching a handheld pressure gauge to the pilot balloon of the tube or by using the minimal leak
volume or minimal occlusion volume technique. Plugging is only used when weaning the patient
from tracheal support. Deflating the cuff overnight would be unsafe and inappropriate. High cuff
pressure can cause tissue trauma.
The acute medical nurse is preparing to wean a patient from the ventilator. Which assessment
parameter is most important for the nurse to assess?
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