Author Question: The nurse educator is evaluating the care that a new registered nurse (RN) provides to a patient ... (Read 108 times)

imowrer · **on:** Jun 25, 2018

The nurse educator is evaluating the care that a new registered nurse (RN) provides to a patient receiving mechanical ventilation. Which action by the new RN indicates the need for more education?

a. The RN increases the FIO2 to 100 before suctioning.
b. The RN secures a bite block in place using adhesive tape.
c. The RN asks for assistance to reposition the endotracheal tube.
d. The RN positions the patient with the head of bed at 10 degrees.

Question 2

The nurse responds to a ventilator alarm and finds the patient lying in bed holding the endotracheal tube (ET). Which action should the nurse take next?

a. Activate the rapid response team.
b. Provide reassurance to the patient.
c. Call the health care provider to reinsert the tube.
d. Manually ventilate the patient with 100 oxygen.

phuda · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: D
The head of the patient's bed should be positioned at 30 to 45 degrees to prevent ventilator-associated pneumonia. The other actions by the new RN are appropriate.

Answer to Question 2

ANS: D
The nurse should ensure maximal patient oxygenation by manually ventilating with a bag-valve-mask system. Offering reassurance to the patient, notifying the health care provider about the need to reinsert the tube, and activating the rapid response team are also appropriate after the nurse has stabilized the patient's oxygenation.