Untitled Quiz

To increase the VT IN PC-AC

• Increase the rate

• Decrease the O2

• Increase the power

• Increase Insp pressure

What is a volume-limited time cycled mode

• PC-AC

• CPAP with PS

• VC-AC

Which of the following patients would be the best candidate for PEEP?

• Heart failure patient with decreased lung compliance

• An ARDS patient at 70% FiO2

• A covid patient with an EF of 24%

• An ARF patient that needs more hemodynamic stability

A client with acute respiratory distress syndrome (ARDS) is on a ventilator. The client’s peak inspiratory pressures and spontaneous respiratory rate are increasing, and the PO2 is not improving. Using SBAR, the RT calls the physician with the recommendation for:

• Initiation IV sedation

• Starting a high-protein diet

• Providing pain medication

• Increasing the ventilator rate

Which of the following modes of ventilation may be used to help strengthen the PT respiratory muscles?

• Synchronized intermittent mechanical ventilation (SIMV)

• Pressure support ventilation (PSV)

• High frequency oscillation ventilation (HFOV)

• Assist / Control ventilation (A/C)

When planning care for a patient on a mechanical ventilator, the RT understands that the application of positive end-expiratory pressure (PEEP) to the ventilator settings has which therapeutic effect?

• Increased inflation of the lungs

• Prevention of barotrauma to the lung tissue

• Prevention of alveolar collapse during expiration

• Increased fraction of inspired oxygen concentration (FIO2) administration

A patient in respiratory failure is on a ventilator. The mode is Assist control (A/C) with a rate of 10, tidal volume of 600 mL, & FiO2 40%. ABG results are as follows: pH 7.30, PaCO2 51, HCO3 26, PaO2 90. The RT would expect the physician to make which adjustment to the ventilator settings?

• Add positive end-expiratory pressure

• Add pressure support

• Increase the respiratory rate

• Change the mode to SIMV

The RT has placed the intubated client with acute respiratory distress syndrome (ARDS) in prone position for 30 minutes. Which of the following would require the RT to discontinue prone positioning and return the client to the supine position? Select all that apply.

• The family is coming in to visit

• The PT has increased secretions requiring frequent suctioning

• The SpO2 and PO2 have decreased

• The client is tachycardia with drop in blood pressure

• The face has increased skin breakdown and edema

The nurse is going through the last of her weaning parameter assessments for an intubated patient. Upon the RT slowly deflating the ET cuff, passing air can be heard. What is the nurse’s and RTs next priority action?

• This indicates an air leak, the nurse should then give solumedrol IVP

• This indicates an edematous airway, which is a normal finding & weaning can be started

• This indicates an air leak, which the nurse understand as a positive sign to continue the weaning process

• This indicates the patient is at risk for airway collapse & the cuff needs to be re-inflated immediately

How to fix air trapping in VC-AC

• Increase I time

• Increase E time

• Increase RR