West Coast University, Orange CountyNURS 211Lall Exams.

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1. Strategy to prevent Ventilator acquired Pneumonia: Chlorahexadrine, Elevated HOB 30 degrees 2. Pt. had a thoracotomy, intervention to maintain patent airway and breathing: pain management 3. Pt... . admission, important to go over: Patient’s rights 4. You have 4 patients, priority to assess: Airway/Respiratory distress 5. Most important in SBAR: complete hand-off, report significant findings to incoming nurse 6. Pt. smokes and states “I’m not ready to quit”, appropriate nursing dx: Ineffective health maintenance 7. Rationale for use of low-volume ventilators for ARDS: decrease barotrauma; to increase respiratory rate 8. Pt. with epistaxis, what is priority: Airway and Oxygen 9. ABGs (4 questions) 10. Ventilator pt. with very low C02, breathing is: hyperventilation; change two settings: decrease rate and tidal volume 11. Pt. with NG tube, in respiratory alkalosis, what caused it: pain or anxiety, give pain medication 12. Pt. with NG tube, in metabolic alkalosis, what caused this: too much suctioning; replace fluids & electrolytes and decompress stomach 13. Ventilated patient, how to know when they are in pain: increased blood pressure and HR 14. DNR pt. on ventilator with blood coming out of tracheostomy, tachypneic, tachycardic and hypertensive, has fentanyl patch on. What do you do: pain management or sedation (propofol). [Show More]

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