When the ventilator alarm sounds, the nurse finds the patient lying in bed holding the endotracheal tube (ET). The first intervention by the nurse is to
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The pilot balloon on the endotracheal tube of a client being…
The pilot balloon on the endotracheal tube of a client being mechanically ventilated is deflated. What is the consequence of this situation?
A nurse is caring for a patient the ER who has sustained fiv…
A nurse is caring for a patient the ER who has sustained five fractured ribs from blunt chest trauma. The patient is rating pain 9 out of 10 on a 0-10 scale. The patient is also experiencing a higher than normal b/p and is very restless due to the intense pain. For which pain management strategy should the nurse advocate for?
A nurse is caring for a patient who has a tracheostomy tube…
A nurse is caring for a patient who has a tracheostomy tube in place. During routine trach care, which of the following should the nurse place underneath the flanges of the outer cannula?
The patient has the following ABG results: pH 7.30, PaO2 50,…
The patient has the following ABG results: pH 7.30, PaO2 50, Co2 45, HcO3 22. What ventilator change would the nurse anticipate?
A patient who suffered a head injury is intubated and receiv…
A patient who suffered a head injury is intubated and receiving mechanical ventilation via the Assist Control (AC) mode. The nurse understands that this means which of the following?
Which manifestations in a client receiving oxygen therapy at…
Which manifestations in a client receiving oxygen therapy at 60% for more than 24 hours would alert the nurse to the possibility of oxygen toxicity?
A nurse is assisting an anesthetist during the intubation of…
A nurse is assisting an anesthetist during the intubation of a client. The anesthetist visualizes the vocal cords with the laryngoscope and says to the nurse, “This is an easy one. Why don’t you give it a try?” indicating that the nurse should insert the endotracheal tube. What would be the most appropriate response by the nurse?
Which of the following interventions is a strategy to preven…
Which of the following interventions is a strategy to prevent fat embolism syndrome?
Your patient has the following ABG results: pH 7.31, PaO2 82…
Your patient has the following ABG results: pH 7.31, PaO2 82, PaCO2 68, HCO3 24. The nurse anticipates the following change to be made initially to the ventilator settings: