NURS 325 FINAL EXAM LATEST 2023 TEST BANK 300 QUESTIONS AND CORRECT CETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

NURS 325 FINAL EXAM LATEST 2023 TEST BANK 300

QUESTIONS AND CORRECT CETAILED ANSWERS

WITH RATIONALES (VERIFIED ANSWERS)

|ALREADY GRADED A+

What medications should the nurse expect to give to the patient

requiring intubation? - ANSWER- Sedative (Midazolam) and a

paralytic agent (Succinylcholine)

How often should we suction the ETT? - ANSWER- Only as

indicated (visible secretions, frequent cough, coarse crackles,

desatting, etc.)

How can we prevent Ventilator-Associated Pneumonia? -

ANSWER- HOB elevation, oral care (with chlorhexidine), hand

hygiene, controlled cuff pressure

This mode of noninvasive ventilation gives oxygen, along with a

high inspiratory pressure and low expiratory pressure -

ANSWER- BiPAP

What is the main difference between Volume-Controlled Modes

and Pressure-Controlled Modes - ANSWER- VolumeControlled Modes deliver a preset tidal volume with each breath

Pressure-Controlled Modes fill the lungs until a preset

inspiratory pressure is reached (tidal volume varies based on

lung compliance and resistance)

This Vent mode delivers a preset # of breaths and also aids the

patient during spontaneous breaths by ensuring an adequate tidal

volume is met - ANSWER- Assist/Control Ventilation

This vent mode uses positive inspiratory pressure to increase a

patient's spontaneous respiratory activity - ANSWER- Pressure

Support

This vent mode delivers a set respiratory rate and helps each

breath with inspiratory pressure - ANSWER- Pressure-Assist

Control Ventilation

Why might pressure-controlled modes be better than volumecontrolled modes? - ANSWER- If a patient's PIP level is

elevated during volume-controlled ventilation, pressurecontrolled modes can reduce the risk of barotrauma (Pressure

modes are used for stiff, noncompliant lungs)

What is the tidal volume setting of a vent?

What is the normal range? - ANSWER- Tidal Volume: The

amount of air with each breath

Normal Range: 4-8 mL/kg

What values can we look at to ensure patient doesn't experience

barotrauma? - ANSWER- PIP: Should be BELOW 40 cm H2O

Plateau Pressure: Should be below 30 cm H2O

What is the function of the PEEP setting? What is the normal

range for PEEP? - ANSWER- PEEP adds positive pressure

during exhalation to keep alveoli open and help with

oxygenation.

Physiological PEEP is 3-5 cm H2O but can range anywhere

from 5-20 cm H2O

How are PEEP and FiO2 related? - ANSWER- PEEP allows us

to use a lower FiO2 since we're increasing the area for exchange

Assign points to each possible finding while assessing eyes

during a GCS:

Patient opens eyes to pain:

Patient opens eyes to voice:

Patient doesn't open eyes

Patient opens eyes spontaneously: - ANSWER- Patient opens

eyes to pain: 2

Patient opens eyes to voice: 3

Patient doesn't open eyes: 1

Patient opens eyes spontaneously: 4

Assign points to each possible finding while assessing motor

response during a GCS:

Flexion is observed:

Patient withdraws from pain:

Extension is observed:

Patient localizes pain

Patient obeys commands:

No response observed: - ANSWER- Flexion is observed: 3

Patient withdraws from pain: 4

Extension is observed: 2

Patient localizes pain: 5

Patient obeys commands: 6

No response observed: 1