Question: 1. Which Of The Following Statements Bent Describes Coxygenation Failure? A. Impaired Gas Exchange Occurs At The Alveolar Level Caning Inuicient Cxygenation Of Pulmonary Blood. B. Altered Air Movement Causes Inadequate Coxygen Intake C. Occurs When Chest Pressure Does Not Change Enough To Allow Adequate Ar Movement. D. Results From A Physical Problem …

1. Which of the following statements bent describes coxygenation failure? A. Impaired gas exchange occurs at the alveolar level caning inuicient cxygenation of pulmonary blood. B. Altered air movement causes inadequate coxygen intake C. Occurs when chest pressure does not change enough to allow adequate ar movement. D. Results from a physical problem of the lungs or chent wall or renpratory center of the brain 2. Which of the following statements best describes ventilation failure? A. Pedmonary perfusion la normal, but ventilation is inadequate, leading to impaired gas exchange B. Chest pressure changes are normal and air movement is adequate, but pulmonary blood not corporated steely. C. Caused by a right-to-loft shunting of blood in the pulmonary vessels D. Results from hyperventilation 3. The nurse knows which of the following clients are at risk for developing combined ventilatory and oxygenation respiratory failure? A. A dont with a history of consuming three alcoholic beverages per week, B. A client with a history of smoking and has a diagnosis of asthma. C. A client with a history of top area and obesity. D. A client with a history of anemia and recently diagnosed with proumonia. 4. The nurse is caring for a client with ventilatory failure. Which of the following statements es correct regarding the direct between trapainonary Ask Expert Tutors and extrapulmonary causes of ventilatory failure இனOpanaa A. Intrapulmonary causes of ventilatory failure may be caused by muscular disorders PAGRRRRR Type here to search $ 4 % 5 & 7 6 8 2 3 1 Р o Y U Q W E R T J L к H F G “A D S M М. V N 00 с • V V – N IX Х 4. The nurse is caring for a client with ventilatory failure. Which of the folowing statements incorrect regideg the diferents between traine and extrapulmonary causes of ventilatory failure? A. Intrapulmonary cames of ventilatory failure may be caned by neuromuscadoorders B. Airway diseases, such as chronic obstructive pulmonary dinease COP).cance extrapmonary ventilation there. C. Intrapulmonary causes of ventilation failure may result in a perfusion/ventilation miomach D. A client suffering from a catastrophic stroke is at risk for developing intrapulmonary ventilation tabure. 5. Acute respiratory failure (ARF) is defined by which at the following blood gas values A. PaO2 80mm Hg. PuCO2- 45mm Hg. pH-740, Sa02 92% B. PaO2 90m Hg. PacO2-35mm HS. PH-745.502-29% C. PaO2 86mm Hg. PaCO2-40mm Hg. pH-735, Sa02-90% D. PaO2 56mm Hg. PaCo2 50mm Hg. pH-730. Sa02-85% 6. Clients that present with acute respiratory failure always have which abnormalitat sig reading A. Hypertension B. Bradycardia C. SaO2 less than 90% D. PaO2 greater than 90 mmHg 7. The nurse is caring for a client admitted with pneumonia and recent weight loss. The clients current vital signa a H 309, 8P126/7a, R.34 sec9 89% Temperature 100.0 cral. What is the nurse’s priority action At B. Administer oxygen therapy An Expert Tutor A Consult home health Type here to search O X $ 4 23 3 א תט 7 8 6 9 2 O Р Y U T E OC W к H J L G S F D M N B V • V C V – Z Х 7. The nurse is caring for a client admitted with pneumonia and romt weight loss. The client’s current tas-100, PF30,3002 80%. Temperature-1000 oral What is the res priority action A. Consult home health B. Administer oxygen therapy C. Ensure adequate nutrition D. Administer antibiotic therapy PR, a 61-year-old woman who has a history of chronic obstructive pulmonary di COPIL is banged to your unit with a diagoa pneumonia and acute respiratory falure. She was endotracheal intubatedorally in the emergency room and sand on chical edition. Her vil siys are BP 12/63, HR 134, Temp 1010 degrees with aSot 3. Her ventilation settings and to mandatory ventilation of 2 breaths/min, tidal volume 700m. FC2 50% and positive and expiratory pre PEENISICO Chart View ph 7.20 Paco 62 m HCO3 26 mmol/l PaO2 48 mm SpO2 531 A Aa Espert Tudor The arterial blood gas (ABG) outsdirman in the member on your PADO Type here to search E 3 0 S 4 VP א וט 9 8 6 3 1 Р 1 Y E T R w 2 J K L H G F D S 4 N B M V V- C Z х AR Con Al 8. The arterial blood gan (ABG) results drawn in the emergency room buforo intubation are sent to you. Interpret PRABG rets. Fins the blank 9. After intubation, the nurse knows that which of the following most accurately determine appropriate endotracheal tube placement? Select all that apply. A. Endotracheal cut pressure B. Abdominal sounds C. End-tidal carbon dioxide level D. Arterial blood gases E. Chest x-ray 10. Endotracheal tube placement has been verilled at 2cm above the carina PR 8002 is currenty 60%. The nurse anticipates which of the following Interventions? A. Physician decreases the Flo2 from 80% to 50%. B. Manual Ambu-bag ventilation with 100% oxygen C. Physician decreases PEEP to 320. D. Document the level of the endotracheal tube at the 11. The nurse caring for P.R.is reviewing orders related to mechanicni ventilation which of the followig nursing intervention inorporate best practice for the care of the mechanically ventilated client? Select all that apply Atk Expert Tutors A Perform mouthcare every four hours. B. Perform respiratory assessment at least every four hours. C. Apply restraints first to prevent accidental dislodgement of the endotracheal tuo D. Avoid the use of sodative medications to prevent decreased level of consciousness Type here to search O DI 2 T . 5 O 17 & 7 $ 8 9 5 6 2 3 P U 1 o Y T R W E K . J F G H S D • V NM х C V 00 IZ CAS 11. The use caring for PR is reviewing orders related to mechanical vocation. Which of the following sering meisines paraules de the care of the mechanically ventilated client? Select all that apply A. Perform mouthcare every four hours B. Perform respiratory assessment at least every four hours C. Apply restraints first to prevent accidental dinlodgement of the endotracheal tube D. Avoid the use of sodative medications to prevent decreased level of consciousness E. Avoid turning the client to prevent dislodgment of endotracheal tube. F. Assess the client’s mouth around the endotracheal tube for fremste leren 12.PR’s son arrives at the bedside. As the nurse is updating the son, the high pressure alarm on the ventilator sound. The son personed the sound. Which of the following statements made by the nude can provide reasurance and education to the com? A. “Your mom may need suctioning to remove secretion and the ventilator setting us know so we can see her B. “Your mom’s ventilator tubing connections may have come undone and the ventilator is letting us know so we can see her C. “Your mont’s endotracheal tube cult may be looking and the ventilator is letting us know so we can D. Your mom is not taking any spontaneous breath at the moment and the ventilator is letting to know w we can be 13. During multichisciplinary rounds, the physician adjusts Prius tidal volume and F.02 settings. The presa inows that tidu volume and represent (Select all that apply) A. The volume of the client receives with each breath B. The oxygen delivered to the C. The pressure at the end of expiration to gas exchange Ash Expert Tutors D. The speed at which each breath is delivered E The pressure used by the ventilator to dever a treath. Type here to search o @ B X с. 8 7 9 0 % 5 8 $ 4 ? 1 6 3 FOL P O 1 U Y T R E к J L Н. G F D S А N M 00 V – с V X IZ AL Can 14. After PRES FO2 is increased to 100% The SpO2 remains The nurse identities the respiratory distress syndrome (ARDSD). Fin the blank 15. The rese nderstands that the most ikely cause of Pro development of acide renpiratory detrenn syndrome (POST A. Chronic obstructive pulmonary disease (COP) B. Pneumonia C. Ventilatorastocisted long I (VALE D. Barotrauma 16. What signs and symptoms would the nurse expect to as in the client with acute respektory Outress someone Won Select all that och A. Dyspnea B. Dihuse hatinets appearance of the linge on chest xray c. Elevated P802 D. Normothermia E. Cyanoti 17. Over the next tight hours, PR begins to disclay netractions, coadiratory rate : 34 Ersata per render andere conserwanted cur appearance. The nurse anticipates moving PR. no which position A Supine B. Prone Trendelenburg D. Reverse Tiendenburg Two hours after moving PR, to the red poto ABG as to o BE Type here to search 4 X 1 Il B 9 $ 4 7 6 5 2 3 1 O P 1 L C Y T R E W 0 к L J H G D TI S (A B N M V- • V V х с N C Alt : All Two hours after moving PR into the desired position, PR ABGs are as follows Chart View pH 7.30 Paco 52 mm HCO3 22 mmol/L PaO2 70 mm Spo2 88% 18. Interpret the above ABGs. Fill in the blank 19. PR’s respiratory status is improding True or False 20. Becaute PR was diagnosed with pneumonia, the healthcare provider ordern antibiotic therapy. The nurse know which of the following mot be obtained for appropriate antibiotic selection? A Urine culture and sensitivity B. Sputum culture and sensitivity C Lateral chest x-ray D. Pulmonary function test A Aanik Expert Tutore 21 The pharmacy ends on IV. in 100 ml. Normale with instructors to 20 minutAt how Type here to search O x C 12 B 7 % 5 $ 4 8 9 6 2 3 P U O Y R T E W к J H G S D F < M м. N . V B V С Х Z CS 20. Because PR. was diagnosed with pneumonia, the wealthcare proeder orders antibiotic therapy. The renows which were obtained for appropriate antibiotic selection A. Urine culture and sensitivity B. Sputum culture and sensitivity C. Lateral chest xray D. Pulmonary function test 2. The pharmacy sends ceftriaxone IV 19 in 100 ml. 0.9% Normal Saline witructions to the over 40 minutes. At how many/her would the nurse regulate the IV infusion pump? (Round to the nearest whole number). Make sure to show your work for full credit. Due to PR’s history of COPD, the prescriber orders albuterol inhaler 3 m. every hours 22. What is an adverse effect associated with the use of albuterol? Select all that apply) a. Tachycardia b. Hypotension Tremors d. Chest pain el distress t. Weight gain As Experts 23. Select the following correct statements about preventing ventilator open APS win carta mochanical ventilation with an endotracheateETT) Select all that apply Type here to search T 5 0 % 5 $ 4 B 9 7 6 2 3 1 O р 1 Y w T E 30 к J H G F S D V N M • V B 1 IN х C AN CH After a period of time on the ventilator. PR’s condition improves, and the hewtowe provide determines the can be weldon After a spontaneous breathing trial, the provider orders for the client to be extubated 25. The nurse performs which of the following interventions in preparation for removal of the endotracheal tube? A. Avoid wuctioning prior entubation to prevent hypocemia. B. Advise the client to avoid coughing after removal of endotracheal tube C. Assens vital signs every five minuten immediately after extuation. D. Allow the client to talk on the phone as much as desired 26. The nurse is aware that which of the following is a late nign of a narrowed airway? A. Mild dyspnea B. Coughing C. High-pitched sound during inspiration. D. Inability to expectorate secretions Add a comment to help your tutor better understand your con Answer from your tutor: At An Expert Tadors P 3 O L Type here to search 수 2 x C C 9 O $ % 5 B 7 6 2 3 Р o U Y T R E W к J L H G F S D V M М. N B V. V с