Chapter 19 - Respiratory Management And Mechanical Ventilation

Question 1

A nurse is caring for a client who is receiving mechanical ventilation and is on pressure support ventilation (PSV) mode. Which of the following statements by the nurse indicates an understanding an understanding of PSV?
A. It keeps the alveoli open and prevents atelectais
B. It allows preset pressure delivered spontaneous ventilation
C. It guarantees minimal minute ventilator
D. It delivers a preset ventilatory rate and tidal volume to the client

Answer 1

B. It allows preset pressure delivered spontaneous ventilation

Question 2

A nurse is caring for a client who is experiencing respiratory distress. Which of the following early manifestations of hypoxemia should the nurse recognize? (Select all that apply)
A. Confusion 
B. Pale skin
C. Bradycardia
D. Hypotension 
E. Elevated blood pressure

Answer 2

B. Pale skin

E. Elevated blood pressure

Question 3

A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?
A. Apply a vest restraint if self-extubation is attempted
B. Monitor ventilator settings every 8 hr
C. Document tube placement in centimeters at the angle of jaw
D. Assess breath sounds every 4 hr

Answer 3

D. Assess breath sounds every 4 hr

Question 4

A nurse is caring for a client who has dyspnea and will receive oxygen continuously. Which of the following oxygen devices should the nurse use to deliver a precise amount of oxygen to the client?
A. Nonbreather mask 
B. Venturi mask
C. Nasal cannula 
D. Simple face mask

Answer 4

B. Venturi mask

Question 5

A nurse reviewing the plan of care for a client who is receiving mechanical ventilation. Which of the following ventilator modes will increase the clients work of breathing? (Select all that apply)
A. Assist-control
B. Synchronized intermittent mandatory ventilator
C. Continuous positive airway pressure
D. Pressure support ventilation
E. Independent lung ventilation

Answer 5

B. Synchronized intermittent mandatory ventilator
C. Continuous positive airway pressure
D. Pressure support ventilation