NUR 265 Exam 2 Questions and Answers 2024

How is an ET tube placement confirmed? - Correct Answer From first to last ETCO2 20-40mmHg Chest symmetry Listen to left/right/abdomen Chest X-Ray Describe the A/C vent mode. - Correct Answer The vent does everything for the patient. It delivers a set amount of breaths per minute Describe SIMV vent mode. - Correct Answer The pt attempts to breath and the vent assists with their breaths What are the different ventilator settings? - Correct Answer Mode FiO2 Rate Tidal Volume (Vt) PEEP What is PEEP? - Correct Answer 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? - Correct Answer Pneumothorax SubQ Emphysema (crepatus) Decreased pre-load What are the 3 buttons that a nurse is able to touch on a vent? - Correct Answer Silence Restart 100% Oxygen (before suctioning a patient) When is it acceptable to shut off a vent alarm? - Correct Answer NEVER What should be done when a patient is in respiratory distress? - Correct Answer *Call for help, disconnect the vent, start bagging the patient, then reassess* What are ways to prevent VAP? - Correct Answer *Remove water from circuits* *HOB up to 30 degrees* Turn Q2h Suction Oral care Q2H Prevent aspiration Lip moisturizer