Ventilation Nation
When the nurse hears a high-pressure ventilator alarm, they should start their assessment here.
What is the airway? (Will also accept "the patient")
A patient with pneumonia becomes restless and confused receiving 2L O2 via nasal cannula. SpO2 drops suddenly from 94% to 81%. The nurse should recommend which priority action to the physician?
What is a non-rebreather mask?
A patient reports tingling around the mouth, lightheadedness, and has a RR 36. These clinical manifestations are most likely due to this acid-base imbalance.
What is respiratory alkalosis?
What is pleurisy?
The nurse educates the patient about applying a chest binder too tightly. The nurse provides this rationale.
What is that you don't want to restrict the ability to take deep breaths?
This ventilatory mode helps prevent alveolar collapse at the end of expiration and is important in the treatment of ARDS.
What is PEEP?
A patient with severe asthma initially had loud, diffuse wheezing. The wheezing is no longer present and the patient looks tired and quiet. This would be the most appropriate response from the nurse.
A patient with chronic kidney disease shows Kussmaul respirations and confusion. These are likely the consequence of this acid-base imbalance.
What is metabolic acidosis?
A nurse is assessing a patient and rhonchi are heard throughout lung fields. The nurse knows this is the most likely cause.
What is mucus obstructing the airways?
The nurse is caring for a patient following a left pneumonectomy. The nurse avoids positioning the patient in this position.
What is right side-lying?
What is SIMV (Synchronized Intermittent Mandatory Ventilation)?
A patient reports sharp, sudden pleuritic chest pain and shortness of breath following a thoracentesis. The nurse's priority is to assess for this complication.
What is a pneumothorax?
A patient taking large amounts of calcium carbonate (TUMS) for GERD reports muscle cramps, irritability, and slow, shallow respirations. These symptoms are likely the result of this acid-base imbalance.
What is metabolic alkalosis?
What are increased bronchophony, egophony, whispered pectoriloquy, and tactile fremitus.
DAILY DOUBLE!
The nurse is caring for a patient following a lobectomy. The nurse provides the patient with the following directions about positioning.
The ventilator shows a low-pressure alarm and the nurse suspects accidental extubation. This is the nurse's priority.
What is manually ventilate (bag-valve mask) with 100% O2?
DAILY DOUBLE!
The nurse knows that this adventitious lung sound is common in both pneumonia and TB.
A patient with COPD is breathing shallowly and slowly. Based on these symptoms and the anticipated acid-base imbalance, the nurse anticipates the body will use this compensatory mechanism.
What is the kidneys will retain bicarb (will also accept get rid of Hydrogen ions)?
A patient develops fine crackles at the bases, dyspnea, and orthopnea. The nurse suspects fluid congestion in the pulmonary tissue, which is known as this condition.
What is pulmonary edema?
The nurse is caring for a patient following a right segmental resection. The nurse instructs the patient not to turn to this side.
What is the right side?
In this ventilator mode, every breath, whether initiated by the patient or the ventilator, is given at the preset tidal volume.
What is Assist-Control (AC)?
A COPD patient is on 28% venturi-mask and becomes increasingly dyspneic, with a respiratory rate of 32 and use of accessory muscles. The nurse anticipates this intervention.
What is applying BiPap to reduce the work of breathing and improve ventilation?
This acid-base imbalance is likely EARLY in an asthma exacerbation. However, as the exacerbation progresses, the imbalance may lead to THIS imbalance. (Need both answers)
What is respiratory alkalosis to respiratory acidosis?
A patient with pleurisy develops diminished breath sounds. The nurse suspects this complication.
What is pleural effusion?
The nurse is caring for a patient with a chest tube. To prevent reintroducing positive pressure into the pleural space, the nurse should avoid this action.
What is clamping the chest tube?