FinalIExam:INUR2790/INURI2790I(LatestI
2024/I2025IUpdate)IProfessionalINursingIIII
|IGuideIwithIQuestionsIandIVerifiedI
Answers|I100%ICorrect|IGradeIA-
IRasmussen
Q:IPreventionIofIPulmonaryIEmbolismIpost-op
Answer:
I*passiveIandIactiveIROMIforIextremities,IAmbulate,Icirculation,Ielevation,InoIsmoking,Icomp
ressionIstockingsIandIdevicesIafterIsurgery,IconstrictingIclothing.
Q:IAcuteIRespiratoryIDistressISyndrome
PathoIfeatures
Answer:
IHypoxemiaIthatIpersistsIevenIwhenI100%IoxygenIisIgivenI(refrac-
ItoryIhypoxemia,IaIcardinalIfeature)
•IDecreasedIpulmonaryIcompliance
I
•IDyspnea
•INoncardiac-associatedIbilateralIpulmonaryIedema
•IDenseIpulmonaryIinfiltratesIonIx-rayI(ground-glassIappearance)
OtherItermsIforIARDSIincludeIadultIrespiratoryIdistressIsyndromeIandIshockIlung.
Q:IARDSIoccursIafterIanIacuteIlungIinjuryI(ALI)IinIpeopleIwhoIhaveInoIpulmonaryIdiseaseI
asIaIresultIof?
Answer:
Isepsis,
burns,Ipancreatitis,Itrauma,IandItransfusion
,Q:IisItheImodeIusedImostIoftenIasIaIrestingImode.ITheIventilatorItakesIoverItheIworkIofIbre
athingIforItheIpatient.ITheItidalIvolumeIandIventilatoryIrateIareIpreset.IIfItheIpatientIdoesInotIt
riggerIspontaneousIbreaths,IaIventilatoryIpatternIisIestablishedIbyItheIventilator.IItIisIprogram
medItoIrespondItoItheIpatient'sIinspiratoryIeffortIifIheIorIsheIbeginsIaIbreath.IInIthisIcase,Ithe
ventilatorIdeliversItheIpresetItidalIvolumeIwhileIallowingItheIpatientItoIcontrolItheIrateIofIbrea
thing.
Answer:
IAssist-controlI(AC)Iventilation
Q:IAIdisadvantageIofItheIACImodeIisIthatItheIventilatorIcontinuesItoIdeliverIaIpresetItidalIv
olumeIevenIwhenItheIpatient'sIspontaneousIbreathingIrateIincreases.IThisIcanIcause
Answer:
IhyperventilationIandIrespiratoryIalkalosis.IInvestigateIandIcorrectIcausesIofIhyperventilation,Is
uchIasIpain,Ianxiety,IorIacid-baseIimbal-Iances.
Q:IisIsimilarItoIACIventilationIinIthatItidalIvolumeIandIventilatoryIrateIareIpreset.IIfItheIpati
entIdoesInotIbreathe,IaIventilatoryIpatternIisIestablishedIbyItheIventilator.IUnlikeItheIACImode
,ISIMVIallowsIspontaneousIbreathingIatItheIpatient'sIownIrateIandItidalIvolumeIbetweenItheIv
entilatorIbreaths.IIt
canIbeIusedIasIaImainIventilatoryImodeIorIasIaIweaningImode.
Answer:
ISynchronizedIintermittentImandatoryIventilationI(SIMV)
Q:IwhatIcauseIhighIpressureIalarm?
soundsIwhenIpeakIinspiratoryIpressureIreachesItheIsetIalarmIlimitI[usuallyIsetI10-
20ImmIHgIaboveItheIpatient'sIbaselineIPIP])
Answer:
IobstructionIex:ImucoseIplu,Icoughs,Igags,IorIbitesIonItheIoralIETItube,IanxiousIorIfightsItheI
ventilator,IAirwayIsizeIdecreasesIrelatedItoIwheezingIorIbronchospasm.
, Q:IwhatIcauseIlowIpressureIalarm?
Answer:
I-Low-ExhaledIVolumeI(orILow-
Pressure)IAlarmI(soundsIwhenIthereIisIaIdisconnectionIorIleakIinItheIventilatorIcircuitIorIaIlea
kIinItheIpatient'sIartificialIairwayIcuff)
-AIleakIinItheIventilatorIcircuitIpreventsIbreathIfromIbeingIdelivered.
TheIpatientIstopsIspontaneousIbreathingIinItheISIMVIorICPAPImodeIorIonIpressureIsupportIv
entilation.
-AIcuffIleakIoccursIinItheIETIorItracheostomyItube.
I
Q:IisItheIresultIofIfracturesIofIatIleastItwoIneighboringIribsIinItwoIorImoreIplacesIcausingIpa
radoxicalIchestIwallImovementI(inwardImovementIofItheIthoraxIduringIinspiration,IwithIoutw
ardImovementIduringIexpiration.
ItIusuallyIinvolvesIoneIsideIofItheIchestIandIresultsIfromIbluntIchestItrau-Ima—oftenIhigh-
speedIcarIcrashes.
Answer:
IflailIchest
Q:IPneumothorax-air/Ihemothorax-
/bloodentersItheIlungsIcollapse.IwhatIisItheINIIforIPneumothorax?
Answer:
IimmediateIneedleIthoracostomy,
withIaIlarge-
boreIneedleIinsertedIbyItheIprimaryIhealthIcareIproviderIintoItheIsecondIintercostalIspaceIinIth
eImidclavicularIlineIofItheIaffectedIside.
AIchestItubeIthenIisIplacedIintoItheIfourthIintercostalIspace,IandItheIotherIendIisIattachedItoIa
Iwater-sealIdrainageIsystemIuntilItheIlungIre-inflates.
Q:INIIforIhemothorax?
Answer: