This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is caring for a patient on mechanical ventilation. The nurse determines that the ... (Read 97 times)

theo

  • Hero Member
  • *****
  • Posts: 698
on: Jun 25, 2018
The nurse is caring for a patient on mechanical ventilation. The nurse determines that the endotracheal tube is properly placed by which assessment?
 
  a. Auscultating both lungs and watching the rise and fall of both sides of the chest
  b. Monitoring and comparing the blood pressure in both arms
  c. Observing and measuring inspiratory and expiratory rates
  d. Checking the settings on the ventilator and the low-pressure and high-pressure alarm settings

Question 2

The nurse is caring for a patient on a mechanical ventilator and the low-pressure alarm sounds. Which action by the nurse is most appropriate?
 
  a. Assess for secretions in the airway and suction the patient.
  b. Administer a sedative to the patient to prevent coughing.
  c. Assess the endotracheal tube cuff to make sure it is deflated.
  d. Check the ventilator tubing and reconnect if disconnected.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

1_Step_At_ATime

  • Sr. Member
  • ****
  • Posts: 342
Reply #1 on: Jun 25, 2018
Answer to Question 1

A
Verify placement of the endotracheal tube by auscultating the lungs and assessing chest wall symmetry. This ensures that the tube has not migrated into the right main stem bronchus. Many factors can cause blood pressure fluctuations and fluctuations in respiratory rate. Always assess the patient first. Once the patient is determined to be safe, the settings for the ventilator alarm can be checked as well.

Answer to Question 2

D
The low-pressure alarm sounds when the ventilator has no resistance to inflating the lung. The patient may be disconnected from the ventilator, or a leak may have developed in the ventilator circuit. The high-pressure alarm sounds when the ventilator has met resistance to delivery of the tidal volume. This may result from coughing, increased secretions, or biting on the endotracheal tube. The cuff of the endotracheal tube is inflated to create a seal for positive-pressure ventilation. A cuff that is leaking could cause the low-pressure alarm to sound.


theo

  • Member
  • Posts: 698
Reply 2 on: Jun 25, 2018
Gracias!

xiaomengxian

  • Member
  • Posts: 311
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

About 100 new prescription or over-the-counter drugs come into the U.S. market every year.

Did you know?

Essential fatty acids have been shown to be effective against ulcers, asthma, dental cavities, and skin disorders such as acne.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Transduction of mechanical vibrations to electric signals in the organ of Corti. Transduction of mechanical vibrations to electric signals in the organ of Corti.
GI endoscopy. (a) Similar to other forms of GI endoscopy, laparoscopy involves the insertion of a sp GI endoscopy. (a) Similar to other forms of GI endoscopy, laparoscopy involves the insertion of a sp
Patient conditions not appropriate for elctronic blood pressure measurement Patient conditions not appropriate for elctronic blood pressure measurement
The process of ventilation: inspiration and expiration. The process of ventilation: inspiration and expiration.
Mechanical Solidarity Mechanical Solidarity
Caring for offspring Caring for offspring
Video: Evolutionary tree of life Animation

For a complete list of videos, visit our video library