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NUR 265 Exam 2 /63 Questions and Answers A+ Rated
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NUR 265 Exam 2 /63 Questions andAnswers A+ Rated
How is an ET tube placement confirmed? - -From first to last
ETCO2 20-40mmHg
Chest symmetry
Listen to left/right/abdomen
Chest X-Ray
-Describe the A/C vent mode. - -The vent does everything for the patient. It
delivers a set amount of breaths per minute
-Describe SIMV vent mode. - -The pt attempts to breath and the vent assists
with their breaths
-What are the different ventilator settings? - -Mode
FiO2
Rate
Tidal Volume (Vt)
PEEP
-What is PEEP? - -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? - -Pneumothorax
SubQ Emphysema (crepatus)
Decreased pre-load
-What are the 3 buttons that a nurse is able to touch on a vent? - -Silence
Restart
100% Oxygen (before suctioning a patient)
-When is it acceptable to shut off a vent alarm? - -NEVER
-What should be done when a patient is in respiratory distress? - -*Call for
help, disconnect the vent, start bagging the patient, then reassess*
-What are ways to prevent VAP? - -*Remove water from circuits*
*HOB up to 30 degrees*
Turn Q2h
Suction
Oral care Q2H
Prevent aspiration
, Lip moisturizer
Percussion
-Give examples of what could cause a high pressure alarm. - -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. - -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? - -
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? - -Immobility
Central Lines
Surgery
Obesity
DVT's
Birth Control Pills
Smoking
-What is the best way to prevent a PE? - -*Move the patient post op.*
-What should be done immediately after the nurse notes s/s of a PE? - -
*Notify the Rapid Response Team*
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