Acute Module 2 Quiz

When preparing to perform sterile closed suctioning technique of the endotracheal tube for a client on a ventilator, what should the nurse do prior to suctioning?

• Put on sterile gloves

• Preoxygenate with 100% oxygen

• Place client in supine position

• Administer a sedation bolus

How often should the client receive oral care when an oral endotracheal tube is in place?

• Every 2-4 hours

• Each shift

• Daily

• Twice per shift

Which of the following would indicate that an intubated patient receiving positive pressure ventilation through a mechanical ventilator may be ready for extubation?

• Patient is initiating spontaneous respirations at a total rate of 6 breaths per minute

• Patient has an O2 saturation of 95% on FiO2 of 80%

• Patient’s current blood pressure is 108/56 on norepinephrine infusion at 10 mcg/min

• Patient is awake, alert, and able to follow commands

Which of the following clinical manifestations is often an early indicator of respiratory failure?

• Change in mental status

• Cyanosis

• Bradycardia

• Jugular venous distention

Propofol may be used in the client receiving mechanical ventilation to accomplish which of the following goals?

• Prevent stress ulcers

• Improve oxygenation

• Decrease agitation

• Reduce pulmonary secretions

The nurse determines that a low CO2 level on an ABG report may result from which of the following problems?

• Hyperventilation

• Hypoxemia

• Hypoventilation

• Hyperoxemia

Which of the following is a potential cause for a low pressure alarm on a ventilator?

• Disconnected tubing

• Copious secretions

• Client fighting the ventilator

• Propofol set too high

Which of the following is a potential cause for a high alarm on a mechanical ventilator?

• Disconnected tubing

• Sedation

• Copious secretions

• Client breathing with the ventilator

Bubbling in which chamber of the chest tube unit signifies an air leak?

• Water seal chamber

• Suction control chamber

• Collection chamber

• Reserve chamber

Which of the following indicates the most appropriate method for providing nursing care to clients requiring mechanical ventilation?

• Keep the client heavily sedated at all times to minimize discomfort

• Place all intubated clients in restraints to prevent accidental extubation

• Perform daily spontaneous awakening trial

• Suction the client’s endotracheal tube every 2 hours routinely to prevent excessive accumulation of secretions