Nurs 231 Pathophysiology Final Exam - Portage Learning Latest Update Graded A

client is on a ventilator and is sedated. What care may the nurse delegate to the unlicensed assistive personnel (UAP)? a. Assess the client for sedation needs. b. Get family permission for restraints. c. Provide frequent oral care per protocol. d. Use nonverbal pain assessment tools. {Ans: c. Provide frequent oral care per protocol. The client on mechanical ventilation needs frequent oral care, which can be delegated to the UAP. The other actions fall within the scope of practice of the nurse.}What is inserted into the trachea through the mouth & vocal cords at the bedside w laryngoscope for mechanical ventilation? {Ans: Endotracheal tube *should site above the bifurcation of the lung before splitting into 2 main bronchi *cuff/balloon is inflated to help keep tube in place and prevent aspiration}What is the treatment for pt w ARDS? {Ans: -ET intubation -conventional ventilation w PEEP or CPAP -meds -fluid therapy -nutrition therapy (tube feeding)}What is the treatment for pt w PE? *refer to chart 32-2 & table 32-1 {Ans: -O2 therapy (NC, mask) -positioning high fowlers -reassure pt -relaxation, diversion, energy conserving -continuous pulse ox -continuous tele (@ risk for dysrythmias) -adequate venous access for IV anticoag,