NR 341 Exam 1 questions with answers
|\ |\ |\ |\ |\ |\
What dressing should be applied upon chest tube removal ? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔airtight sterile petroleum jelly gauze
|\ |\ |\ |\ |\ |\ |\
dressing
What are the reasons YOUR pt. may need an artificial airway ? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔●upper airway obstruction (bleeds,
|\ |\ |\ |\ |\ |\
tumor, gcs less than 8, burns)
|\ |\ |\ |\ |\
●sx
●trauma
●neuromuscular diseases |\
●sepsis
●apnea
●high risk for aspiration
|\ |\ |\
●ineffective clearance of secretions |\ |\ |\
●resp distress |\
When a pt. has a tube in their trachea, what do you need to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
know as a nurse ? - CORRECT ANSWERS ✔✔where was it last
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
marked (@ the teeth or lip) |\ |\ |\ |\ |\
cuff pressure
|\
,Two real reasons there's a inflated cuff ? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔when cuff inflated, prevent secretions from going to lungs
|\ |\ |\ |\ |\ |\ |\ |\ |\
(infections)
when pt. on ventilator, CERTAIN amount of gas that'll be going
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
through each ventilator. with the cuff inflated, the volume is more
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
accurate. with the cuff slightly deflated, theres no telling how
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
much amount of volume is going to the lungs- BASICALLY
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prevents escape of ventilating gases
|\ |\ |\ |\
Patient needs an artificial airway, how are we going to prepare
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for this procedure ?
|\ |\ |\
What should you do to prepare ?
|\ |\ |\ |\ |\ |\
What equipment is needed ?
|\ |\ |\ |\
What position should the pt. be in ?
|\ |\ |\ |\ |\ |\ |\
What should be done before intubation ? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔preparation
-dentures & plates NEEDS to be removed
|\ |\ |\ |\ |\ |\
*equipment
-oxygen, suction tubing, cardiac monitor, yankuer, tonsil tip
|\ |\ |\ |\ |\ |\ |\ |\
suction
,*before intubation |\
-sniffing position (pt. supine with the head extended & the neck
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
flexed)
-pre-oxygenate / BVM 100% O2 for 3-5 minutes |\ |\ |\ |\ |\ |\ |\
-meds (sedative, paralytic agent, analgesic)
|\ |\ |\ |\
What's the reason behind putting the pt. in a sniffing position ? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔to get a better view of vocal cords
|\ |\ |\ |\ |\ |\ |\ |\ |\
Describe rapid sequence intubation. |\ |\ |\
When is rapid sequence intubation NOT indicated ? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔BOTH sedative & paralytic agent are given to
|\ |\ |\ |\ |\ |\ |\ |\ |\
emergency airway pt.s (decrease aspiration, ) |\ |\ |\ |\ |\
crashed airway-unstable pt. (cardiac arrest OR )
|\ |\ |\ |\ |\ |\
if pt. not awake, then this wont be done known difficult airway
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
there is not time for all this.
|\ |\ |\ |\ |\ |\
Nursing responsibilities when assigned to a airway pt. ? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔maintain correct tube placement
|\ |\ |\ |\ |\
maintain proper cuff inflation |\ |\ |\
monitor oxygen & vent |\ |\ |\
, maintain tube patency |\ |\
oral care & skin integrity
|\ |\ |\ |\
comfort & communication |\ |\
assess for complications
|\ |\
How to maintain proper tube placement ?
|\ |\ |\ |\ |\ |\
What are OTHER confirmatory methods for tube placement ?
|\ |\ |\ |\ |\ |\ |\ |\
BUT how is placement verified & confirmed ? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔mark the tube with an exit mark |\ |\ |\ |\ |\ |\ |\
confirm that the mark remains constant throughout the whole
|\ |\ |\ |\ |\ |\ |\ |\ |\
shift (rest, positioning, transporting etc.)
|\ |\ |\ |\
-----------------------------------------------------------
bilateral chest expansion |\ |\
auscultate lungs & throat |\ |\ |\
ABG's
-----------------------------------------------------------
|\ |\ |\ |\ |\ |\
What dressing should be applied upon chest tube removal ? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔airtight sterile petroleum jelly gauze
|\ |\ |\ |\ |\ |\ |\
dressing
What are the reasons YOUR pt. may need an artificial airway ? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔●upper airway obstruction (bleeds,
|\ |\ |\ |\ |\ |\
tumor, gcs less than 8, burns)
|\ |\ |\ |\ |\
●sx
●trauma
●neuromuscular diseases |\
●sepsis
●apnea
●high risk for aspiration
|\ |\ |\
●ineffective clearance of secretions |\ |\ |\
●resp distress |\
When a pt. has a tube in their trachea, what do you need to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
know as a nurse ? - CORRECT ANSWERS ✔✔where was it last
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
marked (@ the teeth or lip) |\ |\ |\ |\ |\
cuff pressure
|\
,Two real reasons there's a inflated cuff ? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔when cuff inflated, prevent secretions from going to lungs
|\ |\ |\ |\ |\ |\ |\ |\ |\
(infections)
when pt. on ventilator, CERTAIN amount of gas that'll be going
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
through each ventilator. with the cuff inflated, the volume is more
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
accurate. with the cuff slightly deflated, theres no telling how
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
much amount of volume is going to the lungs- BASICALLY
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prevents escape of ventilating gases
|\ |\ |\ |\
Patient needs an artificial airway, how are we going to prepare
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for this procedure ?
|\ |\ |\
What should you do to prepare ?
|\ |\ |\ |\ |\ |\
What equipment is needed ?
|\ |\ |\ |\
What position should the pt. be in ?
|\ |\ |\ |\ |\ |\ |\
What should be done before intubation ? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔preparation
-dentures & plates NEEDS to be removed
|\ |\ |\ |\ |\ |\
*equipment
-oxygen, suction tubing, cardiac monitor, yankuer, tonsil tip
|\ |\ |\ |\ |\ |\ |\ |\
suction
,*before intubation |\
-sniffing position (pt. supine with the head extended & the neck
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
flexed)
-pre-oxygenate / BVM 100% O2 for 3-5 minutes |\ |\ |\ |\ |\ |\ |\
-meds (sedative, paralytic agent, analgesic)
|\ |\ |\ |\
What's the reason behind putting the pt. in a sniffing position ? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔to get a better view of vocal cords
|\ |\ |\ |\ |\ |\ |\ |\ |\
Describe rapid sequence intubation. |\ |\ |\
When is rapid sequence intubation NOT indicated ? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔BOTH sedative & paralytic agent are given to
|\ |\ |\ |\ |\ |\ |\ |\ |\
emergency airway pt.s (decrease aspiration, ) |\ |\ |\ |\ |\
crashed airway-unstable pt. (cardiac arrest OR )
|\ |\ |\ |\ |\ |\
if pt. not awake, then this wont be done known difficult airway
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
there is not time for all this.
|\ |\ |\ |\ |\ |\
Nursing responsibilities when assigned to a airway pt. ? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔maintain correct tube placement
|\ |\ |\ |\ |\
maintain proper cuff inflation |\ |\ |\
monitor oxygen & vent |\ |\ |\
, maintain tube patency |\ |\
oral care & skin integrity
|\ |\ |\ |\
comfort & communication |\ |\
assess for complications
|\ |\
How to maintain proper tube placement ?
|\ |\ |\ |\ |\ |\
What are OTHER confirmatory methods for tube placement ?
|\ |\ |\ |\ |\ |\ |\ |\
BUT how is placement verified & confirmed ? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔mark the tube with an exit mark |\ |\ |\ |\ |\ |\ |\
confirm that the mark remains constant throughout the whole
|\ |\ |\ |\ |\ |\ |\ |\ |\
shift (rest, positioning, transporting etc.)
|\ |\ |\ |\
-----------------------------------------------------------
bilateral chest expansion |\ |\
auscultate lungs & throat |\ |\ |\
ABG's
-----------------------------------------------------------
