www.stuvia.com
NUR 265 Exam 2 Exam with
complete solutions latest version
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*
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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
Percussion
Give examples of what could cause a high pressure alarm. - CORRECT ANSWER-
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. - CORRECT ANSWER-
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? -
CORRECT ANSWER-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? - CORRECT ANSWER-Immobility
Central Lines
Surgery
Obesity
DVT's
Birth Control Pills
Smoking
What is the best way to prevent a PE? - CORRECT ANSWER-*Move the patient
post op.*
NUR 265 Exam 2 Exam with
complete solutions latest version
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*
, www.stuvia.com
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
Percussion
Give examples of what could cause a high pressure alarm. - CORRECT ANSWER-
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. - CORRECT ANSWER-
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? -
CORRECT ANSWER-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? - CORRECT ANSWER-Immobility
Central Lines
Surgery
Obesity
DVT's
Birth Control Pills
Smoking
What is the best way to prevent a PE? - CORRECT ANSWER-*Move the patient
post op.*
