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3. What actions can the nurse take to aid the patient in mobilizing pulmonary secretions?
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- To evaluate the effectiveness of mechanical ventilation for a patient with respiratory failure, which diagnostic will be most useful to the nurse? 1. A chest x-ray 2. Oxygen saturation 3. Arterial blood gas analysis 4. Central venous pressure4. Mr. Kee is intubated with a 7.5 mm orotracheal tube. He is in the ICU on a ventilator. The low-exhaled-volume alarm is sounding and Mr. Kee is phonating. His respiratory rate is 32 breaths/ minute, the heart rate is 122 bpm, and the pulse oximeter is 89 percent. You measure the cuff pressure to be 30 cm H2O, and the pilot tube and valve are intact. What would be your recommendations to remedy this situation?5. What nursing procedures may an asthmatic hospital patient who is on the medical/surgical unit access?
- 6. Your patient is critical , and you cannot secure the airway . Medical direction tells you to divert because they have no ICU beds . You repeat the urgency of your patient's condition and are still told to divert . You elect to override the physician's order and transport to that hospital . Can you justify disobeying the physician's order ?When planning care for a patient with chronic lung diseasewho is receiving oxygen through a nasal cannula, what doesthe nurse expect?a. The oxygen must be humidified.b. The rate will be no more than 2 to 3 L/min or less.c. Arterial blood gases will be drawn every 4 hours to assessflow rate.d. The rate will be 6 L/min or more.1. When ventilating a patient with a bag-valve-mask device, you should: a. look for signs of the patient breathing on their own. b. look for inflation of the cheeks. c. listen for gurgling. d. look for the rise and fall of the chest. 2. You find a person having an anaphylactic reaction. When administering the patient's bee sting kit medication, how long must you hold the pen in the patient's leg, so all of the medicine is delivered? a. at least 1 second b. at least 1 minute c. at least 3 seconds d. does not matter 3. As you approach a scene, you should be gathering specific information about the patient before any physical or verbal assessment begins. The most critical information you should note is: a. the smell of alcohol. b. any significant bleeding. c. the type of clothing the patient is wearing. d. how old the patient appears.
- A nurse is monitoring an older adult client immediately following a bronchoscopy. The nurse's priority is to monitor the client for which of the following? Observing for confusion Auscultating breath sounds Confirming the gag reflex Measuring blood pressure O ...1. What is the disorder of this 17-year-old student? Why? 2. Is this primarily a restrictive or an obstructive disorder? Why? 3. Write the formula for determining residual volume (RV). 4. Determine the residual volume (RV) before and after the use of the bronchodilator. a. RV before using the bronchodilator: b. RV after using the bronchodilator: 5. Why is expiration more difficult than inspiration in this person? 6. What does the change in pulmonary function after the bronchodilator therapy indicate? 7. Why does the bronchodilator exaggerate the tachycardia? 8. What causes the hypoxemia and the hypocapnia in this person? 9. A beta 2-adrenergic agent was prescribed for further use because it has less cardiostimulatory (beta1) effect. Based on your knowledge of beta1 and beta2 receptors, why is this a good suggestion? 10. An anticholinergic agent was also suggested as a possible nebulizer agent. How might this help the breathing problem?4) You are asked to transport a mechanically ventilated patient to the radiology department and there is no mechanical transport ventilator available. How should you prepare for transport?
- A client with chronic obstructive pulmonary disease (COPD) asks the nurse to explain what their newly prescribed salmeterol (long acting Beta 2 agonist) and budesonide (Pulmicort) inhalers do. What would be the most appropriate response by the nurse? O The medications that have been ordered for you are what the physician thinks will help your breathing the most" O The medications that have been ordered for you are designed to work together to reduce your oxygen requirements." O The medications that have been ordered for you are to help open your airways and relieve airway inflammation." O The medications that have been ordered for you are to help you breathe with less resistance from your diaphragm."In an obstructive lung disorder, the 1. FRC is decreased 2. RV is increased 3. VC is decreased 4. IRV is increased A. 1 and 3 only B. 2 and 3 only C. 2 and 4 only D. 2,3 and 4 onlyIf the pressure in the pulmonary artery is 34 mm Hg and the pressure in the left atrium is 9 mm Hg, what is the driving pressure? A. 9 mm Hg B. 17 mm Hg C. 25 mm Hg D. 34 mm Hg
