Pulmonary Embolism and Venous Thromboembolism Quiz

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Questions and Answers

What may interfere with pulse oximeter readings?

  • Nice bouncy waveform
  • Lack of circulation
  • Vasopressor therapy
  • Nails (correct)

What is the gold standard for checking blood oxygen?

  • CatScan
  • Chest X-ray
  • Pulse Oximetery
  • PaO2 through blood sampling of the artery (ABG's) (correct)

What is the best way to listen to the lungs according to the text?

  • Posterior (correct)
  • Through CatScan imaging
  • Anterior
  • During a bronchoscopy

Why should COPD patients not be given too much oxygen?

<p>Increases hypoxic drive (C)</p> Signup and view all the answers

What should be done if a patient is breathing more than 35 bpm?

<p>Get them intubated (D)</p> Signup and view all the answers

Which medication is known for fast action and the risk of oversedation in ICU settings?

<p>Propofol (Diprivan) (A)</p> Signup and view all the answers

What is the maximum duration an endotracheal tube should remain in place for a patient?

<p>2-3 weeks, beyond that a tracheostomy will be necessary (D)</p> Signup and view all the answers

What condition can develop after lung injury and if left untreated can lead to multiorgan system dysfunction?

<p>Acute Respiratory Distress Syndrome (ARDS) (B)</p> Signup and view all the answers

What does ARDS resemble on an X-ray?

<p>Severe pulmonary edema (C)</p> Signup and view all the answers

How can the differentiation between Cardiac induced pulmonary edema and ARDS pulmonary edema be checked?

<p>BNP marker - high BNP indicates ARDS (B)</p> Signup and view all the answers

If a patient on a ventilator takes the PAFIO2 test and the result is below 100, what does it indicate?

<p>High probability of ARDS (B)</p> Signup and view all the answers

What characterizes the acute exudative phase of ARDS?

<p>Pulmonary flooding and nullification of surfactant (A)</p> Signup and view all the answers

What are the usual provider's orders for patients with ARDS?

<p>High PEEP and low tidal volumes (D)</p> Signup and view all the answers

Which of the following is NOT associated with the development of ARDS?

<p>Acute respiratory distress syndrome (ARDS) (C)</p> Signup and view all the answers

What is the first phase of ARDS characterized by?

<p>Rapid onset dyspnea within 72 hours of primary injury (D)</p> Signup and view all the answers

In what situation is ECMO (Extracorporeal Membrane Oxygenation) used?

<p>ARDS (B)</p> Signup and view all the answers

What lab testing is required while a patient is on propofol?

<p>Liver Function Tests (LFT) and Triglycerides (A)</p> Signup and view all the answers

How often should the IV tubing with propofol be changed?

<p>Every 12 hours (A)</p> Signup and view all the answers

Which drug is preferred by the provider due to its fast turnaround and decreased chances for delirium?

<p>Precedex (Dexmedetomidine) (A)</p> Signup and view all the answers

What is a typical use of Valium (Diazepam)?

<p>Alcohol detox (B)</p> Signup and view all the answers

What can a mucus plug cause in terms of ventilation and perfusion?

<p>Shunt (Perfusion without ventilation) (D)</p> Signup and view all the answers

Why do we avoid splinting individuals with blunt chest trauma?

<p>To allow lung expansion (B)</p> Signup and view all the answers

"What can the 5 H's and 5 T's cause?"

<p><strong>Pulseless electrical activity (cardiac arrest)</strong> (D)</p> Signup and view all the answers

What can subcutaneous emphysema lead to if it's pressing on the trachea?

<p><strong>Airway compromise</strong> (B)</p> Signup and view all the answers

When is bubbling considered okay for a chest tube?

<p><strong>Intermittent bubbling</strong> (B)</p> Signup and view all the answers

Which diagnostic should be done for a patient with chest trauma?

<p>Chest X-ray (A)</p> Signup and view all the answers

What nursing intervention is recommended for a patient with a pneumothorax?

<p><strong>Chest tube insertion</strong> (B)</p> Signup and view all the answers

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