NUR 425 Exam 3 FINAL FOR 2025,2026 NEW
UPDATE GRADED A+ WITH CORRECT
QUSTIONS AND ANSWERS/ NUR 425 Exam 3 FINAL
FOR 2025,2026 NEW UPDATE
GRADED A+ WITH CORRECT QUSTIONS AND
ANSWERS/ NUR 425 Exam 3 FINAL
FOR 2025,2026 NEW UPDATE GRADED A+ WITH CORRECT
QUSTIONS AND ANSWERS\
Your patient has just begun his first CPAP trial: CPAP, PEEP: 5, FiO2: 40%. After 8
minutes, his vital signs are: BP: 140/85, HR: 145, SaO2: 92%, RR: 35, T: 37.6.
His wife is now at the bedside and asks what is going on. Which statement is
most appropriate?
1. He is trying to breathe on his own, but it appears he is not doing a very
good job. We will need to sedate him more.
2. He is breathing on his own- which is a lot of work, but this is normal. We
will wait a bit longer.
3. He is trying to breathe on his own, but it appears he is working too hard.
We will need to stop the trial.
4. He is breathing with some support from the ventilator. As long as he
triggers breaths, he will get support from the ventilator - CORRECT ANSWER-3 -
,he is working too hard and we do not need to drag this out any more. He needs
more support from the ventilator
CPAP settings - CORRECT ANSWER-Respirations Is this a setting?
- NO
- Patient takes own breaths
Volume Is this a setting?
- NO
Pressure Support Is this a setting?
- NO
PEEP Is this a setting?
- yes
FiO2
- yes
What happens when patient triggers own breath with CPAP? - CORRECT
ANSWER-No volume or pressure assistance- volume and frequency is up to the
patient
Sedation considerations for CPAP - CORRECT ANSWER-No sedation (or minimal
sedation in some cases)
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Potential complications of CPAP - CORRECT ANSWER-If respiratory depression,
hypoventilation and hypoxia can result.
- Patient anxiety while off sedation
Nursing Priorities for CPAP - CORRECT ANSWER-- Patient must be awake enough
to breathe on own and strong enough to take deep breaths
A final weaning mode
-patient may have anxiety
Example settings for CPAP - CORRECT ANSWER-FiO2 40%
PEEP 5
Pressure support settings:
(a mode and setting) - CORRECT ANSWER-Respirations Is this a setting?
- NO
- Patient must trigger every breath on their own
Volume Is this a setting?
- NO
Pressure Support Is this a setting?
- yes
, - specific amount of pressure will be provided with each breath triggered by the
patient
PEEP Is this a setting?
- yes
FiO2
- yes
What happens when patient triggers own breath on pressure support? -
CORRECT ANSWER-Each triggered breath is supported with set amount of
pressure
Sedation considerations for pressure support - CORRECT ANSWER-Minimal-
patient must be awake enough to trigger breaths on own - this is a weaning
mode
Potential complications of pressure support - CORRECT ANSWER-If respiratory
depression, hypoventilation and hypoxia can result.
- Patient anxiety while off sedation
- Potential respiratory Alkalosis if tachypnea (getting assistance with every
breath)
Nursing Priorities for pressure support - CORRECT ANSWER--Patient must be
awake enough to breathe on own
Example settings for pressure support: - CORRECT ANSWER-FiO2 40%