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 86%. 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?
A patient reports sharp chest pain that worsens with inspiration. The nurse suspects this condition.
What is pleurisy?
The nurse is educating a patient with rib fractures about using a chest binder. The nurse explains that wrapping the binder too tightly can impair ventilation and lead to this complication.
What is atelectasis?
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.
What is prepare for intubation (suspect impending respiratory failure; "silent chest"=minimal airflow)
A patient with chronic kidney disease shows Kussmaul respirations and confusion. This compensatory mechanism is likely a response to this acid-base imbalance.
What is metabolic acidosis?
During auscultation, rhonchi are heard throughout the lung fields and partially clear after coughing. These findings most commonly indicate this.
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?
This ventilator mode delivers a set number of breaths per minute, but the patient can take spontaneous breaths between mandatory ones.
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 fatigue, numbness and tingling. These clinical manifestations are likely the result of this acid-base imbalance.
What is metabolic alkalosis?
A patient with pleurisy develops diminished breath sounds. The nurse suspects this complication.
What is pleural effusion?
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 produce/retain bicarb (will also accept get rid of Hydrogen ions)?
Consolidation in the lungs leads to these 4 findings.
What are increased bronchophony, egophony, whispered pectoriloquy, and tactile fremitus.
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 lung cancer develops recurrent pleural effusions and asks about an outpatient option to manage fluid buildup at home without repeated hospital visits. This device may be recommended.
What is a Pleur-X catheter?
A hemothorax, a pneumothorax, and a clamped chest tube all result in this change within the pleural space.
What is increase positive pressure in the pleural space?