NUR2755 / NUR 2755
Multidimensional Care IV Final Exam
Review | Rated A | LATEST 2021/2022
| Rasmussen College
1. what are the assessment findings in pneumothorax?
- Sudden dyspnea
- Chest pain
- Feeling of doom/anxiety
- JVD
- Tachy
- Chest petechiae
- ECG changes
- Abnormal heart sounds
2. what are the s/s of flail chest
- paradoxical chest movement
- dyspnea
- cyanosis
- tachycardia
- hypotension
3. how does the patient usually present with flail chest
- anxious
- short of breath
- in pain
4. what are interventions for flail chest
- humidified oxygen
- pain management
- promotion of lung expansion through deep breathing and positioning
- secretion clearance by coughing and tracheal suction
5. can a person with flail chest recover
- manageable with vigilant respiratory care
6. when is mechanical ventilation needed for a patient with flail chest
- respiratory failure
- shock
- severe hypoxemia and hypercarbia
7. nursing care for flail chest
- monitor ABGs
- monitor vitals
8. with flail chest, what causes increase the risk of respiratory failure
- lung contusion
- underlying pulmonary disease
9. how is flail chest usually stabilized
- positive pressure ventilation
10. what interventions are needed for low BP
- fluid replacement
- Trendelenburg
- compression stockings
- medication
11. what causes a high pressure vent alarm
- thick mucus/secretions blocking the airway
- coughing
- biting on tube
- fighting vent
- wheezing
- bronchospasms
- pneumothorax
- displaced tube
- obstruction
- water in vent circuit
12. what causes a low pressure vent alarm
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