Author Question: A nurse receives report on a patient in the pediatric intensive care unit and is told the patient is ... (Read 54 times)

bobthebuilder · **on:** Jun 28, 2018

A nurse receives report on a patient in the pediatric intensive care unit and is told the patient is on a ventilator in SIMV mode. Which information is inconsistent with the nurse's knowledge of this type of ventilation?

A.
Breaths delivered with preset pressure
B.
Can be used in cases of respiratory failure
C.
Invasive form of ventilation that requires intubation
D.
Will override any spontaneous breathing

Question 2

A child in the pediatric intensive care unit is started on cortisone. When the nurse enters the room to check his blood glucose, the parents are concerned that he is now a diabetic. Which response by the nurse is the most appropriate?

A.
Being critically ill can raise a patient's blood glucose.
B.
I'm sorry; we should have been checking this all along.
C.
Increased blood glucose can be a side effect of steroids.
D.
The doctor is curious about how his glucose levels are.

gasdhashg · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
SIMV, or synchronized intermittent mandatory ventilation, is an invasive form of ventilation requiring the patient to be intubated. SIMV delivers mandatory breaths at a preset pressure. It can augment spontaneous tidal volume or inspiratory efforts. It will synchronize with the patient's respiratory efforts, not override them.

Answer to Question 2

ANS: C
Corticosteroids have many side effects, including elevated blood glucose levels. When the child is started on them, he should have his glucose levels monitored per facility policy. Being ill can raise blood glucose levels, but this is not the specific reason this child is having them checked. The physician does want to know about the readings, but, again, this reason is not specific to this child. To apologize for not checking the glucose all along is not being truthful.