Exam 2: NUR265/ NUR 265 (Latest 2023/ 2024 Update) Advanced Concepts of Medical-Surgical Nursing Exam Review| Grade A| Questions and Verified Answers| 100% Correct| - Galen
Q: What should be done when a patient is in respiratory distress?
Answer:
*Call for help, disconnect the vent, start...
Exam 2: NUR265/ NUR 265 (Latest 2023/ 2024 Update) Advanced Concepts of Medical -Surgical Nursing Exam Review| Grade A| Questions and Verified Answers| 100% Correct | - Galen Q: What should be done when a patient is in respiratory distress? Answer: *Call for help, disconnect the vent, start bagging the patient, then reassess* Q: What are ways to prevent VAP? Answer: *Remove water from circuits* *HOB up to 30 degrees* Turn Q2h Suction Oral care Q2H Prevent aspiration Lip moisturizer Percussion Q: Give examples of what could cause a high pressure alarm. Answer: Blocked airway Coughing Tension pneumothorax Anxiety/Pain: Sedate them Kinks in tubing Decreased lung compliance: ARDS *Assess the patient not the monitor* Q: Give examples of what could cause a low pressure alarm. Answer: Not getting enough air (in or out) Air leak in the cuff: Check the pilot balloon Disconnected tubing Low Vt *Assess the patient not the monitor* Q: What are some things we have to do when caring for a vented patient? Answer: Lung assessment Frequent vital signs (every 4 hours) I&O (look at balances) Foley NPO Nutrition (NG Tube for all vent patients) Skin Care Monitor ABG/labs VTE prophylaxis Q: What are some risk factors for a PE? Answer: Immobility Central Lines Surgery Obesity DVT's Birth Control Pills Smoking
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