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List at least four nursing actions that should be assessed soon after placing a client on a ventilator,exclusive of checking the functioning of the machine itself.

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Any four of these actions is considered ...

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Circle T if the statement is true or F if the statement is false.

Premises
The balloon is not inflated for more than 30-40 seconds to prevent overwedging.
The balloon is deflated by gently withdrawing the air by pulling back on the plunger of the syringe.
2-3 mL of air is injected into the balloon port when obtaining a pulmonary artery wedge pressure.
The proximal port of the catheter is used for taking the pulmonary artery pressure readings.
The "mean" designation is used on the monitor when obtaining the pulmonary artery wedge pressure.
Responses
False
True

Correct Answer

The balloon is not inflated for more than 30-40 seconds to prevent overwedging.
The balloon is deflated by gently withdrawing the air by pulling back on the plunger of the syringe.
2-3 mL of air is injected into the balloon port when obtaining a pulmonary artery wedge pressure.
The proximal port of the catheter is used for taking the pulmonary artery pressure readings.
The "mean" designation is used on the monitor when obtaining the pulmonary artery wedge pressure.

Defibrillation using a monophasic defibrillator requires initial setting at _____________ watt-seconds.


A) 100
B) 200
C) 360
D) 400

E) None of the above
F) All of the above

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C

All of the following nursing measures are carried out while maintaining an arterial line except


A) Level transducer at least every 8 hours.
B) Maintain visual exposure of catheter insertion site.
C) Observe the waveform frequently.
D) Ensure pressure infusion bag is maintained below 300 mm Hg.

E) A) and B)
F) All of the above

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Place the following nursing actions in order from 1 to 5 for the skill Withdrawing Arterial Blood Samples. A)turn stopcock off to client__________ B)attach tube to Vacutainer to establish blood draw for discard__________ C)remove cap from open (blood sampling)port on 3-way stopcock__________ D)turn stopcock off to flush soluion__________ E)attach Vacutainer to open (blood sampling)port on 3-way stopcock__________

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Which one of the following statements is true regarding cardioversion?


A) Vital signs are taken every 1 hour for 8 hours,then every 2 hours for 4 hours,then routinely.
B) It is always an elective procedure.
C) It may be used to treat ventricular tachycardia.
D) The shock is delivered during the T wave of the ECG.

E) A) and C)
F) B) and D)

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List data that should be charted in the nurses' notes following a cardioversion.

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Preconversion rhythm, number o...

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The purpose for inflating the tracheostomy tube cuff is to


A) Prevent aspiration.
B) Provide for mechanical ventilation.
C) Secure the tube.
D) Allow the client to talk.

E) B) and C)
F) A) and B)

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The following questions refer to the skill Assisting with Synchronized Cardioversion. Circle T if the statement is true or F if the statement is false.

Premises
A baseline assessment includes vital signs,ECG,serum electrolytes.
The client should not have been receiving anticoagulant-all coagulant laboratory values should be normal.
A consent form is needed for this procedure.
Food and fluids are withheld for 6-12 hours before cardioversion.
The machine is set on the nonsynchronized mode for cardioversion
Responses
True
False

Correct Answer

A baseline assessment includes vital signs,ECG,serum electrolytes.
The client should not have been receiving anticoagulant-all coagulant laboratory values should be normal.
A consent form is needed for this procedure.
Food and fluids are withheld for 6-12 hours before cardioversion.
The machine is set on the nonsynchronized mode for cardioversion

Following defibrillation, the client should be monitored for the following parameters a.________________________ b.________________________ c.________________________ d.________________________ e.________________________

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a.Neurologic status
b.Vital si...

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Match the appropriate drug with the correct choice.

Premises
Epinephrine
Vasopressin
Atropine
Amiodarone
Magnesium sulphate
Responses
adrenergic agent may be given per ET tube
for suspected hypomagnesemia
used for pulseless ventricular tachycardia
antiarrhythmic agent
blocks action of vagus nerve, used for bradycardia

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Epinephrine
Vasopressin
Atropine
Amiodarone
Magnesium sulphate

Allen's test is used for

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Determining peripher...

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Volutrauma is a complication of mechanical ventilation that can be prevented by reducing the


A) Inspiration to expiration (I:E) ratio.
B) Respiratory rate.
C) Inspired oxygen percent.
D) Tidal volume.

E) A) and B)
F) A) and C)

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Even though several readings are obtained,why are only two output readings used to record the client's cardiac output?

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The high and low readings are ...

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Circle T if the answer is true or F if the answer is false.

Premises
In addition to emergency medications, oxygen equipment, NG tubes, suction catheters, and IV solutions are usually kept in the emergency cart.
Equipment should be placed in cart drawers in the order in which it is most commonly needed in an emergency.
The emergency cart is routinely checked only after each use.
Dry 4×4 gauze pads are placed on the client’s chest prior to defibrillation to prevent a burn.
The defibrillator is placed in the synchronized mode for defibrillation.
Responses
False
True

Correct Answer

Equipment should be placed in cart drawers in the order in which it is most commonly needed in an emergency.
True
The emergency cart is routinely checked only after each use.
False

Initial ventilator settings should include


A) Tidal volume of 5 mL/kg.
B) Respiratory rate of 8-10.
C) FIO2 of 0.4-1.0
D) Inspiratory-expiratory ratio of 1:1.

E) All of the above
F) C) and D)

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Defibrillation is the treatment of choice for


A) Supraventricular tachycardia.
B) Atrial fibrillation.
C) Premature ventricular contractions.
D) Pulseless ventricular tachycardia.

E) None of the above
F) C) and D)

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Measures to help prevent ventilator associated pneumonia include


A) Keep head of bed elevated 20 degrees.
B) Open circuitry to remove condensation.
C) Provide frequent meticulous orophyaryngeal hygiene.
D) Change ventilator circuitry daily.

E) A) and B)
F) A) and C)

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C

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