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Author Question: A child is mechanically ventilated. Which assessment finding indicates that a priority goal is being ... (Read 80 times)

geodog55

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on: Jun 28, 2018
A child is mechanically ventilated. Which assessment finding indicates that a priority goal is being met?
 
  A.
  Enteral feeding tube present
  B.
  PaCO2: 40 mm Hg
  C.
  Intact skin integrity
  D.
  Ventilator on control mode

Question 2

The staff in the pediatric intensive care unit is preparing to intubate a 3-year-old child. To facilitate intubation by providing skeletal muscle paralysis, which drug does the nurse anticipate administering?
 
  A.
  Fentanyl citrate (Sublimaze)
  B.
  Lorazepam (Ativan)
  C.
  Pentobarbital sodium (Nembutol)
  D.
  Vecuronium bromide (Norcuron)


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Joy Chen

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B
The PaCO2 reading is normal, indicating that goals for the diagnosis of impaired gas exchange are being met. The presence of an enteral feeding tube indicates that goals for nutrition are being met, but this is not the priority over gas exchange. Maintaining intact skin is also an important goal, but is not a priority over gas exchange. Having the ventilator on control mode shows that breathing patterns are being maintained, but this does not give any information about the clinical status of the child.

Answer to Question 2

ANS: D
Vecuronium bromide is a neuromuscular blocking agent that paralyzes skeletal muscles. Fentanyl is an opiate analgesic. Lorazepam is a benzodiazepam for sedation. Pentobarbital is a barbiturate, which provides sedation.


geodog55

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Reply #2 on: Jun 28, 2018
Thank you


Joy Chen

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Reply #3 on: Jun 28, 2018
No problemo


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