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NUR 203 Respiratory Exam With Complete Solution
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NUR 203 Respiratory Exam With Complete Solution 2024-2025Arterial blood gases should be obtained how many minutes after the initiation of
continuous mechanical ventilation? - Answer 20 minutes
After a lobectomy for lung cancer, a patient has a chest tube to a disposable chest
drainage system. The nurse knows that the drainage system is working properly when
she observes tidal movements or fluctuations in which chamber of the system as the
patient breathes? - Answer water seal chamber
The nurse is implementing postural drainage with a client. Which of the following
indicates proper implementation of this treatment? - Answer Place the client in each
position of the postural drainage sequence for 10 to 15 minutes. generally done two to
four times a day, before meals (to avoid nausea, vomiting, and aspiration) and at
bedtime.
Before starting to wean a client from a ventilator, the most important assessment
parameter to collect is: Answer baseline ABGs
A client develops acute respiratory distress syndrome from a shock state. The client
deteriorates further and is initiated onto endotracheal (ET) intubation and mechanical
ventilation. Mechanical ventilation high-pressure alarm sounds, and the nurse starts to
troubleshoot the cause. Which of the following conditions would trigger the
high-pressure alarm? Answer Kinking of the ventilator tubing
The nurse is going to perform chest physiotherapy (CPT) on the client. Which of the
following client statements would indicate the procedure is contraindicated. - Answer "I
just finished eating my lunch, I'm ready for my CPT now." While performing CPT, the
nurse maintains the client in a comfortable position without restrictive clothing and not
immediately after eating.
Constant bubbling in the water seal of a chest drainage system indicates which of the
following problems? - Answer air leak
, A client is on a ventilator. Alarms are sounding, indicating an increase in peak airway
pressure. The nurse assesses first for - Answer A kink in the ventilator tubing
Which of the following is an appropriate endotracheal tube cuff pressure? -Answer Cuff
pressures should be checked with a calibrated aneroid manometer device every 6 to 8
hours to maintain cuff pressures between 15 and 20 mm Hg.
A client is on a positive-pressure ventilator that is set to provide synchronized
intermittent mandatory ventilation. The SIMV rate is set at a rate of 8 breaths per minute.
The client is independently taking 6 breaths per minute. The nurse - Answer Continues
to monitor the client's respiratory status frequently
A nurse is going to provide postural drainage. How should the nurse determine the best
position to promote effective clearance of the lungs? - Answer Auscultation
Generally speaking, chest drainage tubes are contraindicated for a patient undergoing
which of the following procedures? - Answer Pneumonectomy
Which of the following types of ventilator has a preset volume of air to be delivered with
each inspiration? - Answer With volume-controlled ventilation, the volume of air to be
delivered with each inspiration is preset.
When providing endotracheal suctioning, the nurse applies suctioning while
withdrawing and gently turning the catheter 360° through which of the following time
frames? -Answer no longer than 10 to 15 seconds because hypoxia and dysrhythmias
may result that can progress to cardiac arrest.
A client has COPD and is intubated on continuous mechanical ventilation. What is the
most important piece of equipment that the nurse should have readily available at the
client's bedside? Ansmetric ambu
A client is receiving supplemental oxygen. When assessing the adequacy of this oxygen
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