Deck 33: Advanced Nursing Skills

Question 1

Defibrillation using a monophasic defibrillator requires initial setting at _____________ watt-seconds.

A)100
B)200
C)360
D)400

Answer 1

360

Question 2

All of the following nursing measures are carried out while maintaining an arterial line except

A)Level transducer at least every 8 hours.
B)Maintain visual exposure of catheter insertion site.
C)Observe the waveform frequently.
D)Ensure pressure infusion bag is maintained below 300 mm Hg.

Answer 2

Ensure pressure infusion bag is maintained below 300 mm Hg.

Question 3

Even though several readings are obtained,why are only two output readings used to record the client's cardiac output?

Answer 3

The high and low readings are discarded in order to obtain a more accurate reading.The two most similar readings are averaged to obtain the cardiac output.

Question 4

Which one of the following statements is true regarding cardioversion?

A)Vital signs are taken every 1 hour for 8 hours,then every 2 hours for 4 hours,then routinely.
B)It is always an elective procedure.
C)It may be used to treat ventricular tachycardia.
D)The shock is delivered during the T wave of the ECG.

Question 5

List at least four nursing actions that should be assessed soon after placing a client on a ventilator,exclusive of checking the functioning of the machine itself.

Question 6

Allen's test is used for

Question 7

Following defibrillation, the client should be monitored for the following parameters
a.________________________
b.________________________
c.________________________
d.________________________
e.________________________

Question 8

List data that should be charted in the nurses' notes following a cardioversion.

Question 9

Defibrillation is the treatment of choice for

A)Supraventricular tachycardia.
B)Atrial fibrillation.
C)Premature ventricular contractions.
D)Pulseless ventricular tachycardia.

Question 10

Initial ventilator settings should include

A)Tidal volume of 5 mL/kg.
B)Respiratory rate of 8-10.
C)FIO₂ of 0.4-1.0
D)Inspiratory-expiratory ratio of 1:1.

Question 11

Measures to help prevent ventilator associated pneumonia include

A)Keep head of bed elevated 20 degrees.
B)Open circuitry to remove condensation.
C)Provide frequent meticulous orophyaryngeal hygiene.
D)Change ventilator circuitry daily.

Question 12

The purpose for inflating the tracheostomy tube cuff is to

A)Prevent aspiration.
B)Provide for mechanical ventilation.
C)Secure the tube.
D)Allow the client to talk.

Question 13

Place the following nursing actions in order from 1 to 5 for the skill Withdrawing Arterial Blood Samples.

A)turn stopcock off to client__________
B)attach tube to Vacutainer to establish blood draw for discard__________
C)remove cap from open (blood sampling)port on 3-way stopcock__________
D)turn stopcock off to flush soluion__________
E)attach Vacutainer to open (blood sampling)port on 3-way stopcock__________

Question 14

Volutrauma is a complication of mechanical ventilation that can be prevented by reducing the

A)Inspiration to expiration (I:E)ratio.
B)Respiratory rate.
C)Inspired oxygen percent.
D)Tidal volume.