Pulmonary Post Quiz

The nurse suspects respiratory failure secondary to hypoventilation in a patient with which condition?

• anxiety

• neuromuscular disease

• fever

• volume A/C ventilation at a rate of 20 breaths/min

A patient is hospitalized in the ICU after a near drowning event and is continuing to deteriorate. The physician is suspecting acute respiratory distress syndrome. What finding on the chest xray would be indicative of ARDS?

• Bilateral pneumothorax

• Heart enlargement with lower lobe infiltrates

• Right lung white out of pulmonary infiltrates

• Bilateral white out of pulmonary infiltrates

If the Pa02 is 60mm Hg and the Fi02 is 60%, what is the Pa02/Fi02 ratio?

• 100

• 1000

• 3600

• 3600

To prevent VAP, it is recommended that the head of bed be elevated to at least what degree?

• 15 degrees

• 20 degrees

• 30 degrees

• 45 degrees

Interpret the following ABG: pH 7.48, Pa02 56, PaC02 30, HC03 25, Fi02 45

• uncompensated respiratory alkalosis

• uncompensated metabolic acidosis

• uncompensated respiratory acidosis

• compensated respiratory acidosis

What is the primary goal for a patient with ARDS?

• increase respiratory rate

• achieve adequate oxygenation

• volume control

• keep C02 within normal range

Where do pulmonary emboli most commonly originate?

• upper extremities

• brain

• heart

• lower extremities

Which nursing management strategies help to prevent ventilator associated pneumonia?

• Bedrest

• Subglottic suction of secretions

• Change ventilator circuit tubing every 8 hours

• Elevate HOB 30-45 degrees

• Oral care with chlorhexidine

Interpret the following ABG: pH 7.34, Pa02 90, PaC02 70, HC03 36, Fi02 45

• compensated respiratory alkalosis

• uncompensated respiratory alkalosis

• compensated respiratory acidosis

• partially compensated respiratory acidosis

Which of the following meets the criteria for ARDS?

• 54 year old with Pa02 of 70 on 21% Fi02

• 45 year old with Pa02 200 on 55% Fi02

• 63 year old with Pa02 of 115 on 65% Fi02

• 75 year old with Pa02 of 91 on 30% Fi02