Pulmonary embolism
Patient with a suspected PE may have which manifestation?
A. Bronchoconstiction
B. Carboxyhemoglobin
C. Pleuritic pain
D. Frothy sputum
C. Pleuritic chest pain and hemoptysis are common manifestations of PE
Neurologic insult can cause respiratory depression and ventilation failure.
A. True
B. False
A True
Preventing VAP includes all of the following EXCEPT:
A. Raise HOB 30 degrees
B. Reduce gastric secretions
C. Extubating after one day
D. Q2H oral care and turns
C. Extubating after one day if the patient is not ready will lead to reintubation and higher risks of PNA
A tension pneumothorax occurs when air enters the pleural space but cannot leave, which condition could cause this kind of pneumo?
A. Stab with knife
B. pneumonia
C. PEEP of 25
D. Asthma
C. PEEP 25
Warfarin therapy post PE has what therapeutic action?
A. Degrades the clot
B. Reduces lipids
C. Reduces platelets
D. Prevents worsening clots
D. Prevents worsening of clots already present, prevents new clots from forming
A patient presents with severe burns to a large percentage of the body and inhalation is suspected. What type of respiratory failure is the patient at risk for?
A. Pneumonia
B. Pneumothorax
C. Hyperventilation
D. ARDS
D. ARDS is commonly caused by insult to lung tissue, such as in an inhalation of smoke or chemical fumes
The appropriate way to drain moisture in the circuit is by leaning the water toward the patient while suction is activiated.
A. True
B. False
B. False, tilt circuit moisture toward collection bags
What are the manifestations of a pneumothorax?
A. Tracheal deviation toward the affected side
B. Tracheal deviation toward the unaffected side
C. Increased breath sounds
D. Hypertenision
B. Tracheal deviation to unaffected side, other thoracuc structures will be compressed too
A client is acutely short of breath with dyspnea, tachypnea and pleuritic chest pain. PE is suspected. What initial ABG would be expected?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic alkolosis
D. Metabolic acidosis
B. Respiratory alkalosis due to the hyperventilation and tachypnea, later symptoms of PE will include ABG that is respiratory acidosis due to the build-up of C02
If a patient is receiving 100% FI02 via non rebreather, but the ABG shows Sp02 55, what is this called and what does it indicate?
A. Hyperoxia, hyperventilation
B. Hypoxemia, increased oxygen consumption
C. Refractory hypoxemia, severe respiratory failure (ARDS)
D. Normal oxygen, patient needs to be weaned
C. Refractory hypoxemia and ARDS
Within 30 min to 1 hour after a patient is intubated, what are three priorities the nurse must address?
A. ABG
B. Chest xray
C. Orientation/ sedation
D. Weaning pocess
A, B, C: also address relaxation, orientation, sedation, restraints as needed
For any emergent chest trauma, oxygen is helpful to keep sa02 > 92
A. True
B. False
A. True
Heparin therapy can cause DIC, this condition is characterized by whcih group of symptoms?
A. Abnormal clotting and risk of bleeding
B. Fat embolism and ischemia
C. Polycythemia and dehydration
D. Hyponatremia and seizures
A. Abnormal clots use up platelets, increasing risk of bleeding from all sites, punctures, wounds, and mucosa
Patients with ARDS who are mechanically ventilated greater than 14 days have a poor prognosis.
A. True
B. False
A. True
PPI are given to patient to reduce acidity of the stomach. How does this acid reduction promote VAP prevention?
A. Reduces Gi fullness
B. Reduces risk of ulcer
C. Reduces aspiration risk
D. Increases bicarbonate in the stomach
C. Reduces aspiration risk
In chest trauma, we do rapid assessment and stabilization, rib or chest injuries are not wrapped, why is this?
A. Wrapping can decrease lung expansion
B. Wrapping may worsen pressure and pain
C. wrapping allows weak coughing
D. Wrapping may cause difficulty clearing secretions
A. Wrapping can decrease lung expansion