Nursing assessment of a patient on non-invasive mechanical ventilation should include

Facial Skin integrity under and around the mask

When a patient is on an inhaled vasodilator (nitric oxide or epoprostenol), we must prevent the rebound effect by

Keeping them on inhaled vasodilators until properly weaned off.

Non-invasive mechanical ventilation (BiPAP) is appropriate for

Increased work of breathing of alert & oriented patients.

To titrate the oxygen via a cool aerosol setup, we should:

Turn the dial on the aerosol bottle

Heated High Flow Oxygen provides the patient

with inadvertent CPAP that eases the work of breathing

When to call the provider or Medical Alert Rapid Response?

NC flowrate 6 lpm, or FiO2 greater than 0.5

In response to high pressure alarm on the ventilator, in addition to giving 100% O2, RN should do the following except

Assess if the patient can sit on the edge of the bed

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CCO O2 & Mechanical Ventilation

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Nursing critical care orientation questions.

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Questions 11

Answers

1
High flow nasal cannula up to 15 lpm is an extremely safe and effective oxygenation device.
False
True
2
Nursing assessment of a patient on non-invasive mechanical ventilation should include
The color of the respiratory device used for BiPAP
Facial Skin integrity under and around the mask
End tidal CO2 reading
The color of the BiPAP mask
3
When a patient is on an inhaled vasodilator (nitric oxide or epoprostenol), we must prevent the rebound effect by
Keeping them on inhaled vasodilators until properly weaned off.
Sending them to procedures and imaging without the inhaled vasodilators
Performing manual positive pressure ventilation with 100% oxygen only
Taking them off the inhaled vasodilators to use the bathroom
4
To wean the patient off a simple mask, wean the flowrate to 1 lpm, turn off the flowmeter, & remove the mask.
False
True
5
Non-invasive mechanical ventilation (BiPAP) is appropriate for
Apneic patients
Airway protection & secretion management
Increased work of breathing of alert & oriented patients.
Fresh upper GI surgery this admission
6
To titrate the oxygen via a cool aerosol setup, we should:
Add an additional source of oxygen
Increase the flowrate on the oxygen flowmeter
Decrease the flowrate on the oxygen flowmeter
Turn the dial on the aerosol bottle
7
Heated High Flow Oxygen provides the patient
Is there such a thing as heated high flow nasal cannula?
with inadvertent CPAP that eases the work of breathing
only 100% oxygen.
With oxygen only. Same as high flow nasal cannula.
8
When to call the provider or Medical Alert Rapid Response?
No need to call Medical Alert Rapid Response at any time.
Wait until High Flow NC is more than 10 lpm
NC flowrate 6 lpm, or FiO2 greater than 0.5
Patient is on room air
9
Stable patients who are on invasive mechanical ventilation must undergo daily all of the following except
Mobility when possible
SBT screening and SBT
Reverse Trendelenburg
SAT screening and SAT
10
In response to high pressure alarm on the ventilator, in addition to giving 100% O2, RN should do the following except
Check for a kink in the airway
Assess if the patient can sit on the edge of the bed
Assess the need to suction
Assess airway & call RT
11
The appropriate flowrate for a Non-rebreather is 15 lpm or flush.
False
True

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