NCLEX Mechanical Ventilation Questions 100% CORRECT SOLUTIONS 2023//2024
NCLEX Mechanical Ventilation Questions 100% CORRECT SOLUTIONS 2023//2024 The low tidal volume alarm on a client's ventilator keeps sounding. What is the nurse's first action? A) Manually ventilate the client. B) Put air into the endotracheal tube cuff. C) Check ventilator connections. D) Call the physician. - ANSWER Answer: C- Check ventilator connections Rationale: Ventilator connections should be check initially and loose connections or disconnections should be fixed. If there is no immediate problem found, the client should be manually ventilated and another person should check the ventilator connections. Test Plan: Management of care A client has just been intubated for placement on a mechanical ventilator. What is the first assessment of the tube placement? A) Chest X-Ray B) Auscultation of breath sounds C) Pulse oximetry reading of 95% D) End tidal CO2 monitoring - ANSWER Answer: D- End tidal CO2 monitoring Rationale: End tidal CO2 monitoring is the first intervention to determine if the endotracheal tube is in place, but a chest x-ray is still needed to confirm proper placement. What are strategies to prevent Ventilator-associated Pneumonia? select all that apply A. Oral care every 4 hours, B. HOB elevated 30-45 degrees unless contraindicated by the patient's condition C. HOB elevated 10-15 degrees, unless contraindicated by the patient's condition D. Allow family to suction patient as needed to remove secretions - ANSWER A. Oral care Q4h B. HOB elevated 30-45 degrees unless contraindicated by patients condition. A Client has been intubated and placed on a volume-cycled mechanical ventilator. The nurse carefully assess the client for findings associated with a risk associated with this type of ventilator. What is the risk? A. Hypoventilation B. Hypercapnia C. Respiratory acidosis D. Barotrauma - ANSWER D. Barotrauma
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nclex mechanical ventilation questions 100 correct solutions 20232024
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