Module 5 Principles of Mechanical Ventilation and Respiratory Support Oxygen and Airways Part 2

Which of the following conditions is most likely to arise as a direct consequence of absorption atelectasis resulting from oxygen therapy?

A patient receiving high-flow oxygen therapy exhibits signs of oxygen toxicity. Which intervention is most crucial in preventing further complications?

A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. The nurse observes a decreased respiratory rate and altered mental status. Which complication should the nurse suspect?

During the insertion of an endotracheal tube, the capnography reading suddenly drops to zero after initial waveform detection. What is the most likely explanation for this change?

After endotracheal intubation, a patient’s chest auscultation reveals decreased breath sounds on the left side compared to the right side. What immediate action should the nurse take to address this finding?

A patient with an endotracheal tube is on mechanical ventilation. A sudden increase in airway pressure is noted along with a decrease in exhaled tidal volume. Which of the following is the priority nursing intervention?

A patient with a tracheostomy tube exhibits signs of frequent, small-volume aspiration. Which intervention is most effective in minimizing further episodes?

A patient with a long-term tracheostomy is being discharged home. Which of the following instructions is most critical for the caregiver to ensure patient safety?

Following prolonged intubation, a patient is being evaluated for readiness for extubation. Which parameter provides the most comprehensive assessment of the patient's ability to maintain adequate ventilation post-extubation?

A patient receiving non-invasive bilevel ventilation (BiPAP) develops increasing episodes of skin breakdown around the mask. What is the priority intervention to prevent further complications?

A patient with an endotracheal tube is scheduled for transfer to another unit. Which of the following actions is most crucial to ensure airway safety during transport?

A patient is undergoing rapid sequence intubation (RSI). After administering the neuromuscular blocking agent, the nurse notes that the patient's oxygen saturation is rapidly declining. What is the priority intervention?

A patient with a tracheostomy develops subcutaneous emphysema around the stoma site. What is the most likely cause of this complication?

A patient with a known latex allergy requires endotracheal intubation. What is the most important consideration when assembling the necessary equipment?

A patient on mechanical ventilation with an endotracheal tube has thick, tenacious secretions. Which of the following interventions is most effective in promoting secretion clearance?

Following extubation, a patient develops stridor and increasing respiratory distress. What is the priority nursing intervention?

A patient receiving mechanical ventilation develops a ventilator-associated pneumonia (VAP). What is the most effective strategy to prevent further episodes of VAP?

A patient with a tracheostomy tube is being mechanically ventilated. The high-pressure alarm is sounding frequently. What should the nurse assess first?

A patient is prescribed non-invasive positive pressure ventilation (NIPPV) for acute respiratory failure. What is the most critical nursing assessment during the initial application?

A patient with a tracheostomy is being weaned from mechanical ventilation. What assessment finding would indicate the patient is not ready to be weaned?

Following insertion of a tracheostomy tube, the nurse notes continuous bubbling of air around the insertion site. What is the most appropriate initial intervention?

A patient with a cuffed tracheostomy tube is able to speak. What is the most likely cause?

What is the most significant risk associated with routine endotracheal suctioning in a mechanically ventilated patient?

A patient on mechanical ventilation suddenly develops unilateral chest rise, absent breath sounds on one side, and hypotension. What is the most likely cause and immediate intervention?

A patient with a tracheostomy tube is being prepared for discharge. Which of the following instructions is most important to include in the teaching plan?

What is the primary purpose of a pilot balloon on a tracheostomy or endotracheal tube?

A patient with COPD is receiving low-flow oxygen via nasal cannula. The patient's respiratory rate decreases significantly, and their mental status declines. What is the most likely explanation?

During a rapid sequence intubation, after administering a paralytic agent, you note the patient has rigid chest muscles and difficulty ventilating. What condition is most likely occurring?

A patient has just undergone a tracheostomy. What is the most important piece of equipment to keep at the bedside during the immediate post-operative period?

Which of the following is a contraindication for nasotracheal suctioning?

A patient is on positive pressure ventilation. Which of the following findings is most indicative of barotrauma?

What is the primary reason for using sterile technique during tracheostomy care?

A patient with a tracheostomy is being fed orally. Which intervention can best prevent aspiration during meals?

A patient is receiving oxygen via a non-rebreather mask but continues to have low oxygen saturation levels. What is the most appropriate next step?

A patient with an endotracheal tube is biting on the tube. What is the most appropriate immediate intervention?

What is the primary advantage of using a heat-moisture exchanger (HME) in mechanically ventilated patients?

A patient is on mechanical ventilation with a PEEP of 10 cm H2O. What is the most important assessment to monitor related to this setting?