Prolonged mechanical ventilation

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Reference no: EM133850626

Question

1. A patient who has required prolonged mechanical ventilation has the following arterial blood gas results: PH 7.48, Pao2 85 mmHg, PaCo2 32 mmHg, and HCo3 25 mEq/L. The patient's current ventilator settings are A/C mode, vt 500, RR 18, PEEP 10, Fio2 60%. The nurse would anticipate an order for the change in:

a. An inverse ratio setting of 2:1

b. The respiratory rate to 20 bpm

c. The Fio2 to 100%

d. The respiratory rate to 14 bpm

2. A patient's endotracheal tube is not tightly secured. The respiratory care practitioner assists the nurse in taping the tube. After the tube is retaped, the nurse auscultates the patient's lungs and notes that the breath sounds over the left lung fields are absent. The nurse suspects which of the following?

a. The endotracheal tube is in the right mainstreamb bronchus

b. The patient has a left pneumothorax

c. The patient has aspirated secretions during the procedure

d. The stethoscope earpiece is clogged with wax

Reference no: EM133850626

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