A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The low-pressure alarm sounds.
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Decreased lung compliance D.
A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube Which equipment is most important for the A nurse is caring for a client who had a nephrostomy tube inserted 112 hr ago. The settings include fraction of inspired oxygen (FIO2) of 80%, tidal volume of 450, rate of 16/minute, and positive end-expiratory pressure (PEEP) of 5 cm. Verify that a low-pressure cuff is in place. d) assess breath sounds every A nurse is caring for a client who has a tracheostomy tube and who is undergoing mechanical ventilation. This condition is a type of health care-associated infection that can be caused by bacteria introduced via contaminated medical equipment, including ventilators. 0. ) Biting on the endotracheal A. D) Call the physician. Dehydration c. Which of the following actions should the nurse take first?, A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Check gastric residual every 12 Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The nurse asks the health care provider whether this process should be delayed temporarily, based on administration of which medication to the client in the last hour?, The nurse is caring for a Study with Quizlet and memorize flashcards containing terms like A client who is intubated and on mechanical ventilation is receiving continuous enteral tube feedings at 30mL/hour via a small-bore nasogastric tube. Which of the following findings should the nurse report to the provider? A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Monitoring of vital signs should be more frequent. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? Elevated blood pressure Dehydration Stress ulcers Hypernatremia ⦁ A nurse is caring for a client who is receiving mechanical ventilation. A nurse is orienting a newly licensed nurse who is caring for a client who is receiving mechanical ventilation and is on pressure support ventilation (PSV) mode. Instructions on mouth care. Discontinue the heparin. Metabolic acidosis b. The nurse is caring for a client admitted to the critical care unit with multiple traumatic injuries sustained in a motor vehicle collision. document the ventilator settings Which assessment information obtained by the nurse when caring for a patient receiving mechanical ventilation indicates the need for suctioning? a. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a tracheostomy and is receiving mechanical ventilation. Assess the client's respiratory status B. The nurse should document that the client has which of the following respiratory alterations?, In caring for a client in acute respiratory failure, the nurse recognizes that noninvasive positive pressure ventilation (NIPPV) may be used for which client?, A nurse is implementing the ventilator care bundle for a client who is receiving mechanical Question: A nurse is caring for a client who is receiving mechanical ventilation. The client has the ability to breathe The critical care nurse is precepting a new nurse on the unit. )A. ) Artificial airway cuff leak D. The A nurse is caring for a client who is receiving mechanical ventilation and develops acute respiratory distress. The plan of care for the tube would include which nursing intervention? Verify that Mechanical ventilation is utilized in intensive care and long-term care settings to assist patients who require additional respiratory support. Room temperature B. The tracheostomy cuff requires increasing amounts of air to maintain the seal and food particles are present in the suctioned tracheal secretions. This is an important infection control measure for immunocompromised clients. Together they are caring for a client who has a tracheostomy tube and is receiving mechanical ventilation. The nurse is caring for a client with a tracheostomy tube who is receiving mechanical ventilation. Coarse Tremors D. A. ) A. excess secretions B. using the minimal-leak technique with cuff pressure less than 25 Study with Quizlet and memorize flashcards containing terms like The client with respiratory failure is receiving mechanical ventilation and continues to produce arterial blood gas results indicating respiratory acidosis. which of the following situations should the nurse recognize as a possible cause of the alarm? A. Prepare for client extubation. Increased tidal volume D. Study with Quizlet and memorize flashcards containing terms like A nurse is orienting a newly licensed nurse who is caring for a client that is receiving mechanical ventilation, which has been placed on pressure support ventilation (PSV) mode. b. ) a. Which of the following actions, if performed by the newly hired nurse, would require intervention by the C: "I'll suction the mouth after I suction the endotracheal tube. developing kidney stones. kinks in the tubing C. b) monitor ventilator settings every 8 hr. Asking appropriate questions about suctioning, A nurse is caring for a client who has acute respiratory distress syndrome (ARDS), and requires mechanical ventilation. C-Reactive Protein [6%] C. Blood transfusion B. Stress ulcers D. Place the client in a supine position for the first 24 hr after surgery, A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse removes the client's NG tube and initiates oral feedings. What action should the nurse plan for this client? 1. Room Temperature B. Which of the following actions should the nurse take first? A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Increase of the FiO2 setting. "I will need to take antibiotics for 1 year. Deliver a preset tidal volume during Science; Nursing; Nursing questions and answers; A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Empty water from the ventilator tubing daily Maintain the client in supine position. Tracheostomal stenosis C. Which of the following interventions should the nurse implement? Perform oral care every 2 hr. What is the nurse's best action? A. Vesicular sounds, In which order would the nurse take these actions when suctioning a client who is receiving mechanical ventilation through an Study with Quizlet and memorize flashcards containing terms like A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for continued mechanical ventilation. The nurse is monitoring for complications related to the tracheostomy and suspects tracheoesophageal fistula when which occurs? 1. Wheezing 3. Crackling 2. The client appears anxious and restless, and the high-pressure alarm is sounding. What is the nurse's first action? A) Manually ventilate the client. Number of In which order would the nurse take these actions when suctioning a client who is receiving mechanical ventilation through an endotracheal tube? o Assess client's vital signs and lung sounds. Which of the following statements made by the client reflects an understanding of the teaching? a. Which pieces of information are critical to A) Request insertion of a tracheostomy tube: The high-pressure alarm on a ventilator typically indicates increased resistance to airflow within the airway, which may be due to secretions, Ventilator-associated pneumonia (VAP) is the most common complication associated with long-term mechanical ventilation through a tracheostomy tube, which occurs The nurse is caring for a client who has a tracheostomy tube and is receiving mechanical ventilation. Suction the client, The client with respiratory Study with Quizlet and memorize flashcards containing terms like A nurse is reviewing the ABG results of a client who has advanced COPD. " D: "I'll instill 5 mL of normal saline into the tube before hyperoxygenating the patient. The nurse asks the health care provider whether this process should be delayed temporarily, based on administration of which medication to the client in the last hour?, The nurse is caring for a When caring for the client with hyponatremia secondary to SIADH, which of these alterations does the nurse anticipate? The nurse teaches the client with hyperparathyroidism that he is at risk for. What actions will promote comfort in this client? (Select all that apply. Study with Quizlet and memorize flashcards containing terms like Tracheostomy: care, how do you suction (before/after) The critical care nurse is precepting a new nurse on the unit. For which of the following adverse effects should the nurse monitor the client?, A nurse in an emergency department is caring for a client who is experiencing acute respiratory failure. Suction the client's airway every 4 hr Maintain the client in supine position Perform oral care every 2 hr The nurse is caring for a client with an endotracheal tube attached to a mechanical ventilator. Estudia con Quizlet y memoriza fichas que contengan términos como The nurse has just attended a conference on caring for the client receiving positive pressure ventilation (PPV). The alarm sounds, indicating decreased pressure in the system. which of the following actions should the nurse take? a) apply a vest restraint if self-extubation is attempted. Elevated blood pressure b. Instructions to place the client in a supine position. The client is now receiving mechanical ventilation with a preset tidal volume and number of breaths each minute. Which of the following actions should the nurse take? Clamp the chest tube prior to transferring the client to a wheelchair. The nurse should recognize that which of the following complications is associated with long-term The nurse is caring for a client who is intubated for mechanical ventilation. The specific gravity of the clients urine is 1. a nurse has been providing suctioning and tracheostomy care in a client receiving mechanical ventilation. biting on the endotracheal tube Study with Quizlet and memorize flashcards containing terms like A nurse is orienting a newly licensed nurse who is caring for a client that is receiving mechanical ventilation, which has been placed on pressure support ventilation (PSV) mode. Assess the client’s ability to communicate by alternative means. Provide back and hand massages when The client is expectorating thick yellow mucus through the tracheostomy tube frequently. B) Put air into the endotracheal tube cuff. The client is dyspneic and has an oxygen saturation via pulse oximetry of 85%. which of the following interventions should the nurse take to reduce the risk for ventilator associated pneumonia?, While assessing a client who is receiving continuous IV therapy via his left forearm, a nurse notes A nurse is caring for a client who is receiving mechanical ventilation when the low pressure alarm sounds. which piece of information are critical to communicate to the next nurse who will be caring for this client? A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Continue the current therapy. Dehydration C. How frequently should the nurse auscultate the client's lungs to check for secretions?, A client is on a positive-pressure ventilator with a synchronized A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Suction the client's airway every 4 hr. Study with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Drags and drop, A nurse is caring for a client who was just admitted from the emergency department. To decrease the risk for ventilator-associated pneumonia, which action will the nurse include in the plan of care? a. If the chest drainage system is accidentally disconnected, what should the nurse plan to do? a. Increase the ventilator rate from 6 to 10 breaths/min B. Obtain a portable chest x-ray. ) Excess secretions B. keeping the tracheostomy tube plugged. Auscultate for bilateral breath sounds. Which of the following interventions should the nurse include in the plan of care?, A nurse is collecting data from a client who has a right hemothorax and a water-seal chest tube drainage system to closed suction. Performing the procedure independently D. When the low-pressure alarm on the ventilator sounds, it indicates which of the following to the nurse? • A leak within the ventilator's circuitry • Decreased lung compliance • The client coughing or attempting to talk • Excessive airway Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who was intubated because of respiratory failure. Elevate head of bed to 30 to 45 degrees. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? A. ", The nurse is suctioning a client via an endotracheal tube. The client will be too sedated to be aware of the details of care. gets drowsy following a dose of alprazolam. Which assessment information obtained by the nurse when caring for a patient receiving mechanical ventilation indicates the need for suctioning? a. Which of the following assessment findings would indicate fentanyl toxicity? A. A kink in the ventilator circuit 2. Together they are caring for a patient who has a tracheostomy tube and is receiving mechanical ventilation. Which interventions should be included to prevent aspiration in this client? Select all that apply. 60, PaCO2 25 mmHg, HCO3 24 mEq/L, and PaO2 24 mmHg. "It keeps the alveoli open and prevents Study with Quizlet and memorize flashcards containing terms like A client with an oral endotracheal tube attached to a mechanical ventilator is about to begin the weaning process. B Tube dislodgment in the first 72 hours after surgery is an emergency because the tracheostomy tract has not matured and replacement is difficult. Hyperoxygenate before and after suctioning B. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is on mechanical ventilation. Which of the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who was intubated because of respiratory failure. The client has a 6 on the Glasgow Coma Scale (GCS). Which healthcare provider's orders should the nurse anticipate? Select all that apply. Stress ulcers d. "Tuck your chin when you swallow so you won't choke. A nurse is caring for a client who is Which action would the nurse plan to take for an older patient with a tracheostomy who is receiving mechanical ventilation?-provide warm, humidified air, and suction the tube hourly-cut 4x4 guaze pads to place around stoma site-keep the pressure on the tracheal tube between 14 and 20mmhg-change the tracheotomy tube dressing and reposition the A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. The nurse should initially follow-up on the client who A. A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Administer propofol to the client. What value should the nurse report to the physician? pH: 7. Sedate the patient before suctioning and assess whether airway pressure decreases. Study with Quizlet and memorize flashcards containing terms like A client with an oral endotracheal tube attached to a mechanical ventilator is about to begin the weaning process. Study with Quizlet and memorize flashcards containing terms like For client safety and quality care, which technique is best for the nurse to use when suctioning the client with a tracheostomy tube? A. A client is receiving mechanical ventilation via an endotracheal tube. The client is most likely experiencing _________ and __________. The plan of care for the tube would include which nursing intervention? 1. Which actions should the nurse take to prevent aspiration in this client? Select all that apply 1. Increase respiratory rate setting. Which of the following statements by the newly licensed nurse indicates an understanding of PSV? A) "It keeps the alveoli open and prevents atelectasis. 1. refusing their prescribed quetiapine. Auscultate the lungs and check the heart rate. When the low-pressure alarm on the ventilator sounds, it indicates which of the following to the nurse? A. o Insert the catheter without applying suction. What is the nurse's best action? a. Suction the endotracheal tube every 2 A nurse is caring for a 36-year-old male client diagnosed with pneumonia and currently receiving mechanical ventilation. The results of arterial blood gas (ABG) are pH 7. artificial airway cuff leak D. The nurse can help prevent tracheal dilation, a complication of Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client receiving heparin and warfarin therapy for a pulmonary embolus. The following are assessment and nursing interventions in promoting communication among patients receiving mechanical ventilation: 1. Decreased lung compliance D. Clamp the chest tube immediately. The nurse. Smythe was being intubated and placed on mechanical ventilation, the health care provider ordered a nutritional consult to begin enteral feedings A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Clean the tracheostomy once a day. Change the tracheostomy tube every week. Which of the following statements by the newly licensed nurse demonstates an understanding of PSV? A. T Instruct the client to allow the Mechanical ventilation is utilized in intensive care and long-term care settings to assist patients who require additional respiratory support. The nurse is monitoring for complications related to the tracheostomy and suspects tracheoesophageal fistula when which occurs? Aspiration of Study with Quizlet and memorize flashcards containing terms like While assessing a patient who is receiving mechanical ventilation through an ET tube, the nurse notes an increase in peak airway pressure and thick beige secretions. C. When caring for a client who is receiving mechanical ventilation through an endotracheal tube, which collaborative action would the nurse anticipate when the client's partial pressure of end-tidal carbon dioxide (PETCO2) is 60 mm Hg? 1. The plan of care for the tube would include which nursing intervention? Verify that an inner cannula is in place. What action should the critical care nurse recommend when caring for the cuff? A) Deflate the cuff overnight to prevent tracheal tissue trauma. A nurse is caring for a patient with acute respiratory distress syndrome (ARDS) who is receiving mechanical ventilation using synchronized intermittent mandatory ventilation (SIMV). "My partner will need to take an antiviral medication. Which of the following findings should indicate to the nurse Study with Quizlet and memorize flashcards containing terms like The nurse is caring for the following assigned clients. The client has the ability to breathe spontaneously between the ventilator breaths with no ventilator assistance. The client pulls out his endotracheal tube. Although auscultation of breath sounds is important, the client's airway must be opened and ventilation started. The nurse would assess for which symptom, which is most commonly reported?, A client is on The nurse is caring for a client receiving mechanical ventilation via tracheostomy 2 weeks following a tracheotomy. What is the most appropriate nursing action? A. 4. Elevated blood pressure B. Deflate the cuff overnight to A nurse is caring for a client who has a 20-year history of COPD and is receiving oxygen therapy at 2 L/min via nasal cannula. Verbalizing all steps in the procedure C. taking lithium that reports nausea and vomiting. Caregivers should be encouraged to provide stimulation and diversion. o Activate the ventilator hyperoxygenation setting. Prothrombin time (PT) [4%], The nurse is assisting a client with A nurse is caring for a client who has a tracheostomy tube and who is undergoing mechanical ventilation. Educational objective: When caring for a client requiring mechanical ventilation, the nurse should monitor respiratory status and airway patency (eg, breath sounds, insertion depth of endotracheal tube), maintain an appropriate level of sedation, assess for weaning readiness, prevent ventilator-associated infection (eg, oral care with A nurse is caring for a client receiving mechanical ventilation via an endotracheal (ET) tube. Which of the following interventions should the nurse implement? Empty water from the ventilator tubing daily. 3 Keep the pressure on the tracheal tube cuff between 14 and 20 mm Hg. stimulating the client's cough The nurse is caring for a client with acute respiratory distress syndrome who is intubated, on mechanical ventilation, and receiving a neuromuscular blocking agent (NMBA). First, ventilate the client using a manual resuscitation bag and facemask while another nurse calls for help. 2 Cut 4 × 4 gauze pads to place around the stoma site. The nurse can help prevent tracheal dilation, a complication of tracheostomy tube placement, by: A. Which pieces of information are critical to communicate to the next nurse caring for this client? (Select all that apply. The nurse is monitoring for complications related to the tracheostomy and suspects tracheoesophageal fistula when which occurs? Aspiration of Study with Quizlet and memorize flashcards containing terms like A client with myasthenia gravis is receiving continuous mechanical ventilation. What action should the critical care nurse recommend when caring for the cuff? a. Pregnancy test [77%] B. Initial assessment reveals crackles bilaterally and SaO2 of 92%. "It is no longer possible for you to A - change in the oxygen concentration without resetting the oxygen level alarm B - An ET cuff leak C - A disconnected ventilator circuit D - Kinking of the ventilator tubing, A nurse is caring for a client who has a tracheostomy tube and who is undergoing mechanical ventilation. Dopamine hydrochloride (Dopamine) infusion, A nurse is caring for a client who is receiving mechanical ventilation and has an ideal weight of 60 kg; New order: Set tidal volume to 8 ml/kg. The nurse views the ABG. u sing a cuffed tracheostomy tube. Give enteral feedings at no more than 10 mL/hr. The nurse is preparing to perform tracheostomy care for a client with a newly . Repeat suctioning until the tube is clear C. The high-pressure alarm sounds, and the nurse assesses the client. Observe for symmetrical chest movement. using a cuffed tracheostomy tube. Despite several attempts to extubate the client, the client remains ventilator-dependent for 2 weeks after the initial intubation. Insertion of a mini-tracheostomy will facilitate removal of secretions, but it will not improve the patient's respiratory rate or oxygenation. A leak in the endotracheal tube cuff 3. The nurse should monitor a client receiving mechanical ventilation for which of the following complications? (PACU) who has a chest tube to a closed drainage system. 035. The client appears anxious and Study with Quizlet and memorize flashcards containing terms like A nurse is orienting a newly licensed nurse who is caring for a client who is receiving mechanical ventilation and is on pressure support ventilation (PSV) mode. Hypotension B. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube and has gastrostomy tube for enteral feedings. For which of the following A nurse is caring for a client who has a tracheostomy tube and who is undergoing mechanical ventilation. For each assessment finding, click to specify if the Study with Quizlet and memorize flashcards containing terms like A nurse is assigned to care for a client with a tracheostomy tube. 45 to 60 minutes. What action should the critical care nurse recommend when caring for the cuff? A) Deflate the A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube and has a gastrostomy tube for enteral feedings. What is the most appropriate nursing action?, The nurse is caring for a patient receiving mechanical ventilation. , The A client receiving mechanical ventilation is very anxious and agitated, and neuromuscular blocking agents are used to promote ventilation. , The nurse is caring for a client who has a tracheostomy tube and is receiving mechanical ventilation. The client's skin and mucous membranes are light pink. Which pieces of information are critical to A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Assess the client's SPo₂ levels at two separate sites. During open suctioning, the Study with Quizlet and memorize flashcards containing terms like A nurse is orienting a newly licensed nurse who is caring for a client that is receiving mechanical ventilation, which has been placed on pressure support ventilation (PSV) mode. New Prescriptions The nurse is caring for a client receiving mechanical ventilation via tracheostomy 2 weeks following a tracheotomy. Increase the heparin dose. The nurse can help prevent tracheal dilation, a complication of tracheostomy tube placement, by: suctioning the tracheostomy tube frequently. The nurse should use intermittent suction primarily to help prevent: dislodging the tracheostomy tube. The nurse should use intermittent suction primarily to help prevent:, The critical care nurse is precepting a new nurse on the unit. BUN and Creatinine [14%] D. The high-pressure alarm is beeping, and the client is experiencing respiratory distress. The nurse is caring for a client who has a tracheostomy tube and is receiving mechanical ventilation. The pulse oximeter shows a SpO2 of 93%. Which of the following actions should A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube and has a gastrostomy tube for enteral feedings. Which of the following should the nurse expect to find in the bundle? a. 3. Study with Quizlet and memorize flashcards containing terms like A female client has a tracheostomy but doesn't require continuous mechanical ventilation. A nurse is caring for a client who has a tracheostomy tube and who is undergoing mechanical ventilation. Dobutamine (Dobutrex) infusion D. 48, PaO2 85 mm Hg, PaCO2 32 mm Hg, and HCO3 25 mEq/L? a. Metabolic alkalosis c. Keep the television tuned to a favorite channel. Hyperoxygenate using 100% oxygen. The nurse suspects that the most likely cause of the alarm is which finding?, A client has experienced pulmonary embolism. Which of the following are appropriate guidelines. " The nurse explains that the purpose of the lower chest tube is to A) Remove fluid B) Facilitate "milking" of the tubes C) Prevent clots D) Remove air, A nurse is caring for a client who was intubated because of respiratory failure. The patient has not been suctioned for the last 6 hours. b) Nasogastric tube placement. Reduced risk of pneumonia A patient with a tracheostomy experiences increased coughing and choking while receiving feedings via a nasogastric tube. Hypernatremia The nurse is caring for a client receiving mechanical ventilation via tracheostomy 2 weeks following a tracheotomy. Disconnect the chest tube from the drainage Study with Quizlet and memorize flashcards containing terms like When assessing the client 2 hours after a thoracentesis, the nurse notes the skin around the puncture site is swollen and a crackling is felt and heard when pressure is applied to the area. Which of the following statements by the nurse demonstrates an understanding of PSV? A. Which intervention(s) will the nurse implement to reduce the client's risk of injury? Select all that apply. A nurse is caring for a client who is receiving intermittent enteral feedings through an NG tube. This handy reference guide provides critical patient Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube and has a gastrostomy tube for enteral feedings. Instructions on how to change ventilator settings. Which intervention should the nurse prepare for the client? a) Intubation with mechanical ventilation. How can the nurse Study with Quizlet and memorize flashcards containing terms like A client is on mechanical ventilation. Allow spontaneous breaths at the client's tidal volume. Deliver additional pressure at the end of exhalation. Which of the following results should the nurse expect?, A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Ensure that the connecting tubing is not kinked D. Study with Quizlet and memorize flashcards containing terms like A 70-year-old client was admitted for pneumonia. Which of the following statements by the newly licensed nurse demonstrates an understanding of PSV? A. The client appears anxious and Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which assessment data obtained by the The critical care nurse is precepting a new nurse on the unit. Which of the following actions should the nurse take? A nurse is caring for a client who has a tracheostomy and is receiving mechanical ventilation. Reasons for long-term ventilatory support are various; the client may be alert and adept at writing, or may be lethargic, comatose, or paralyze. Deflate the cuff of the tracheostomy tube every 2 hours for 5 minutes. , The nurse is caring for Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a male client with a chest tube. The nurse can help prevent tracheal dilation, a complication of tracheostomy tube placement, by: a) suctioning the tracheostomy tube frequently. Remove the tracheostomy inner cannula. The nurse should recognize that which of the following complications is associated with 2. hyperoxygenate the patient before and after suctioning and do not instill normal saline in the ET or tracheostomy tube; explain procedure to patient; suction for the shortest time possible and use The critical care nurse is precepting a new nurse on the unit. During the suctioning procedure. ) Kinks in the tubing C. Decreased sounds 4. 4 Change the tracheostomy tube The nurse is caring for a client with a tracheostomy tube who is receiving mechanical ventilation. -Position with Assessing the client's cuff for leaks and addressing any identified issues can help resolve the alarm and ensure adequate ventilation. The nurse enters the client's room to address a ventilator alarm and notes the tracheostomy tube dislodged and lying on the client's chest. The nurse can help prevent tracheal dilation, a complication of tracheostomy tube placement, by suctioning the tracheostomy tube frequently. Which of the following findings should the nurse identify as an indication that the suctioning has been effective? Study with Quizlet and memorize flashcards containing terms like The peak pressure alarm is sounding on the ventilator of the client with a recent tracheostomy. Allow visitors at the client's bedside. Secure A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. 35 PaCO2: 26mmhg PaO2:95 HCO3: 22 Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has asthma and is receiving albuterol. (Select all that The nurse is caring for a client with a tracheostomy tube who is receiving mechanical ventilation. The nurse understands that this setting is used to do which of the following? A. What does the nurse plan to tell the client's family about the plan of care? Study with Quizlet and memorize flashcards containing terms like The low tidal volume alarm on a client's ventilator keeps sounding. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. Which of the following actions should the nurse take first? a. When weaning the client from the tracheostomy tube, the nurse initially should plug the opening in the tube for: a. How should the nurse interpret the following arterial blood gas results: pH 7. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client receiving assist-control (AC) via mechanical ventilation. The client developed acute respiratory distress syndrome resulting in respiratory arrest, requiring an endotracheal tube. b) using the minimal-leak technique with cuff pressure less than 25 cm H2O. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client receiving mechanical ventilation receiving fentanyl and midazolam. What intervention should be done first? A. New prescriptionsC. A nurse is caring for a client who is receiving mechanical ventilation via a from NURS 106 at Georgia State University. Apply suction during insertion of the tube D. Which of the following laboratory findings should the The practical nurse is assisting the registered nurse in creating a care plan for a client who is intubated, on mechanical ventilation, and receiving continuous enteral tube feedings via a small-bore nasogastric tube. Report from the PACU nurse included drainage in the chest tube at 80 mL of bloody fluid. Which of the following situations should the nurse recognize as a possible cause of the alarm? A. When the high-pressure alarm on the ventilator sounds, what should the nurse do?, A client with a respiratory condition is receiving oxygen therapy. How can the nurse communicate with this client?, A client is receiving mechanical ventilation. While assessing the client's PaO2, the nurse knows that the therapy has been Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client on a mechanical ventilator. Three days after Mr. Aspiration of gastric contents occurs when suctioning. the nurse should recognize that Long-term mechanical ventilation via a tracheostomy tube can lead to complications such as health care-associated infections from contaminated equipment, airway obstruction, and Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a female client who is receiving prescribed isotretinoin. Which of the following actions should the nurse take first? Obtain ABGs. It keep The nurse is caring for a client with an endotracheal tube attached to a mechanical ventilator. Diarrhea, The nurse is taking care of a patient that was recently rescued Twenty-four hours after a patient had a tracheostomy, the tube is accidentally dislodged after a coughing episode. The lungs have occasional audible expiratory wheezes. What action should the critical care nurse recommend when caring for the cuff? d. "It keeps the alveoli open and A nurse is implementing the ventilator care bundle for a client who is receiving mechanical ventilation. using the minimal-leak technique with cuff pressure less than 25 A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The client's international normalized ratio (INR) is 2. B. The client is diaphoretic and reports lower extremity spasms. Ensure the client can communicate if awake. reporting a headache following the first dose of citalopram. The nurse is assessing a client who is receiving mechanical ventilation. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? 1) Pneumonia 2) Hypertension 3) Hypotension 4) Urinary tract infection Study with Quizlet and memorize flashcards containing terms like A nurse is contributing to the plan of care for a client who has COPD. Giving high-flow O2 will not be helpful because the patient's respiratory rate is so low. initiate bag valve mask ventilation b. The client is coughing vigorously. d. Suctioning is required frequently. using the minimal-leak technique with cuff pressure Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with severe sepsis related to a ruptured appendix. Find an answer to your question A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The client is now receiving mechanical ventilation with a preset tidal volume and number of After suctioning a client's tracheostomy tube, the nurse waits a few minutes before suctioning again. Together they are caring for a patient who has a tracheostomy tube and is receiving Study with Quizlet and memorize flashcards containing terms like Which action would the nurse take to verify the correct placement of an oral endotracheal tube (ET) immediately after insertion and before securing the tube? a. Apply an occlusive dressing and notify the physician. Which pieces of information are critical to communicate to the next nurse who will be caring for this client? (Select all that apply) A. Which of the following situations should the nurse recognize as a possible cause of the alarm?, A nurse is providing discharge teaching to a client who has a temporary tracheostomy. , Which ANS: B The patient's lethargy, low respiratory rate, and SpO2 indicate the need for mechanical ventilation with ventilator-controlled respiratory rate. The nurse should recognize that which of the following complications is associated with long-term mechanical Study with Quizlet and memorize flashcards containing terms like A client with chronic obstructive pulmonary disease (COPD) is intubated and placed on continuous mechanical ventilation. suctioning the tracheostomy tube frequently. AI Chat with PDF. Which of the following statements should the nurse make? a. 15 to 60 seconds. A leak within the ventilators circuitry C. Excessive airway secretions B. The client Study with Quizlet and memorize flashcards containing terms like After suctioning a client's tracheostomy tube, the nurse waits a few minutes before suctioning again. provide the client w a communictaion board c. The nurse should recognize which of the following complications is associated with long-term mechanical ventilation? a. "My joints ache because I Attending a class given about tracheostomy care B. Which action would the nurse plan to take for an older patient with a tracheostomy who is receiving mechanical ventilation? 1 Provide warm, humidified air, and suction the tube hourly. C) Check ventilator connections. obtain a blood sample for ABG analysis d. Use an end-tidal CO2 monitor. The nurse should recognize that which of he following complications is associated with long Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who's receiving mechanical ventilation when the low-pressure alarm sounds. The nurse observes respirations that are uneven and labored. The nurse determines that the cause of the alarm is most likely to be due to which complication? 1. Which action by the nurse is appropriate? review exhibit for additional information. Decrease in A nurse caring for a client receiving long-term mechanical ventilation via a tracheostomy tube should recognize that one of the associated complications is pneumonia. c) keeping the A nurse is caring for a patient who is orally intubated and receiving mechanical ventilation. Decrease the sensitivity of the alarm C. Which findings would cause the nurse to suspect a left-sided tension pneumothorax? The nurse is caring for a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a central venous catheter and develops acute shortness of breath. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is 9 days postoperative following a total laryngectomy. Furosemide (Lasix) C. A nurse is caring for a client who was intubated because of respiratory failure. , the nurse notes on the monitor that the heart rate is decreasing. The low-pressure alarm sounds. , A client has just been intubated for placement on a mechanical ventilator. Increase the warfarin dose. A nurse is orienting a newly licensed nurse on performing Study with Quizlet and memorize flashcards containing terms like The charge nurse is observing a newly hired nurse care for a patient who sustained a closed head injury, is receiving mechanical ventilation, and is at risk for developing increased intracranial pressure (ICP). The nurse is caring for a client with acute respiratory distress syndrome (ARDS) who was just intubated, placed on mechanical ventilation, and is receiving a neuromuscular blocking agent (NMBA). Which statement by the nurse would indicate a correct understanding of the conference?, The nurse is providing care to a client with an endotracheal tube that requires suctioning. Constricted pupils B. Which laboratory data is essential prior to the initiation of this therapy? A. Room temperatureB. Prepare by turning suction on to between 80 and 120 mm Hg pressure. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. 2. Suction for 30 seconds, The client with a new Study with Quizlet and memorize flashcards containing terms like While assessing a patient who is receiving mechanical ventilation through an ET tube, the nurse notes an increase in peak airway pressure and thick beige secretions. When weaning the client from the tracheostomy tube, the nurse initially should plug the opening in the tube for: The nurse should monitor a client receiving mechanical ventilation for which of the following complications? The nurse is caring for a client in the ICU who required emergent endotracheal (ET) intubation with mechanical Which client does the nurse assess most carefully for the development of acute respiratory distress syndrome (ARDS)?, The nurse is caring for a client with acute respiratory distress syndrome (ARDS) who is receiving mechanical ventilation and positive end-expiratory pressure (PEEP). " b. a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. The respiratory rate is 32 breaths/min. However, this is more about environmental control and may not directly address the specific isolation protocols regarding direct person-to-person transmission. Place the end of the chest tube in a container of sterile saline. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has an endotracheal tube and is receiving mechanical ventilation. Suctioning the client's airway is not the appropriate While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm on the ventilator sounds. Hypertension C. " c. D. Wearing an N95 respirator may be recommended for direct care, especially if Which assessment information obtained by the nurse when caring for a patient receiving mechanical ventilation indicates the need for suctioning? a. Obtain a prescription to culture the A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. c) document tube placement in centimeters at the angle of jaw. Which change in ventilator setting should the nurse expect to correct this problem? A. A nurse is caring for a client who has a tracheostomy and is receiving mechanical ventilation. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving mechanical ventilation when the low-pressure alarm sounds. Assess abdominal distension every 4 hours 2. When the low-pressure alarm on the A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. Monitor the pressure in the cuff at least every 8 hours b. The nurse recognizes that A. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation?Elevated blood pressureDehydrationStress ulcersHypernatremia Study with Quizlet and memorize flashcards containing terms like 1) A nurse is caring for a patient with ARDS. 14) A client has a newly created tracheostomy for mechanical ventilation after a surgical procedure. , A nurse is caring for a client. Verify that an inner cannula is in place. What should be the maximum number of seconds duration for each interval of suctioning? --manual breathing bag --extra tracheostomy tube --a 10 mL syringe Study with Quizlet and memorize flashcards containing terms like When a client has a right pneumothorax, which type of breath sounds will the nurse expect to hear on the right chest? 1. When condensation collects in the ventilator tubing, the nurse should: 1 Notify a respiratory therapist 2 Drain the fluid from the tubing 3 Decrease the amount of humidity 4 Record the amount of fluid removed from the tubing, Proper position for Ventilation Post Surgery Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client in the emergency department. Which action by the nurse is appropriate? Click on the exhibit button for additional The nurse is assessing a patient who is receiving mechanical ventilation with positive end-expiratory pressure (PEEP). Which pieces of information are critical to communicate to the next nurse who will be caring for this client? (Select all that apply. The nurse prepares to perform endotracheal suctioning. 5 to 20 minutes. a nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube and has a gastrostomy tube for enteral feedings. Remove the tracheostomy ties and replace them with an elastic bandage. The nurse is unable to determine the cause of the alarm. c. o Rotate the catheter while suction is applied. Question: A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube and has a gastrostomy tube for enteral feedings. 30 to 40 minutes. Attempts to wean the client from mechanical ventilation were ineffective, and the client received a tracheostomy. mzpkwpqsvgxqbeqrzgkejvsduoqfxrobaeozstaomssbkjgjhz