Mechanical Ventilation Questions With 100% Verified Solutions

Mechanical Ventilation Questions With 100% Verified Solutions The client is on CPAP for weaning from a mechanical ventilator. Assessment reveals a respiratory rate of 32/min, oxygen saturation of 88 percent, and use of accessory muscles. What should the nurse anticipate will occur? A. The FiO2 will be increased. B. Weaning will continue. C. The client will be placed back on full ventilatory support. D. The client will be extubated. - ANSWER -Correct ANSWER: C. The client will be placed back on full ventilatory support. Rationale: Weaning should be discontinued, as the client is showing signs of intolerance. 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