care Of The Ventilator Patient Quiz

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care Of The Ventilator Patient Quiz - Quiz

This quiz is for nurses that work in the ICU and care for the ventilator patient.


Questions and Answers
  • 1. 

    You are the ICU nurse caring for a ventilator patient, post op 40 hours for abdominal surgery with a history of COPD, vital signs are normal, ventilator settings check ok, and no endotracheal secretions are noted.  First write out the steps, using the Institute of Healthcare Improvement (IHI) Ventilator care bundle (VCB), of how you would care for that patient. It is now eight hours into your shift, you go into assess your patient and notice the patient has a temperature of 102.6, copious secretions in the endotracheal tube, and ventilator alarms increased respiratory rate, decreased tidal volume, and increased minute ventilation, and oxygen saturation of 86%.  With that in mind, what occurred with the patient and write out what you would do to care for that patient using the IHI VCB and why. 

  • 2. 

    Identify three symptoms of VAP:

    • A.

      Fever, purulent tracheobronchial secretions, leukocytosis, increased respiratory rate, decreased tidal volume, increased minute ventilation, and decreased oxygenation.

    • B.

      Fever, leukocytosis, decreased tidal volume, decreased oxygenation, and increased blood pressure.

    • C.

      Decreased oxygen, increased minute ventilation, increased tracheobronchial secretions, and decreased respiratory rate.

    • D.

      Fever, increased tracheobronchial secretions, increased respiratory rate, and increased tidal volume.

    Correct Answer
    A. Fever, purulent tracheobronchial secretions, leukocytosis, increased respiratory rate, decreased tidal volume, increased minute ventilation, and decreased oxygenation.
    Explanation
    The correct answer includes a comprehensive list of symptoms that are commonly associated with ventilator-associated pneumonia (VAP). These symptoms include fever, purulent tracheobronchial secretions, leukocytosis (an increased number of white blood cells), increased respiratory rate, decreased tidal volume (the amount of air moved in and out of the lungs with each breath), increased minute ventilation (the total amount of air moved in and out of the lungs per minute), and decreased oxygenation. These symptoms are indicative of a respiratory infection and can help healthcare providers diagnose and treat VAP.

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  • 3. 

    True or False, ventilator-associated pneumonia is a type of Hospital acquired pneumonia that develops more than 48 to 72 hours after endotracheal intubation? 

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Ventilator-associated pneumonia (VAP) is a type of hospital-acquired pneumonia that occurs more than 48 to 72 hours after endotracheal intubation. This means that patients who are on a ventilator for an extended period of time are at risk of developing VAP. Therefore, the statement "True" is correct as it accurately describes the relationship between VAP and the time frame after endotracheal intubation.

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  • 4. 

    The key components of the Institute for Healthcare Improvement Ventilator Bundle are:

    Correct Answer
    N/A
  • 5. 

    The risk factors of ventilator associated pneumonia are:

    • A.

      Preexisting conditions, such as immunosuppression, chronic obstructive lung disease, and acute respiratory distress syndrome

    • B.

      Patients’ body positioning

    • C.

      Level of consciousness

    • D.

      Medications, including sedative agents and antibiotics

    Correct Answer(s)
    A. Preexisting conditions, such as immunosuppression, chronic obstructive lung disease, and acute respiratory distress syndrome
    B. Patients’ body positioning
    C. Level of consciousness
    D. Medications, including sedative agents and antibiotics
    Explanation
    The risk factors of ventilator associated pneumonia include preexisting conditions such as immunosuppression, chronic obstructive lung disease, and acute respiratory distress syndrome. These conditions weaken the immune system and make patients more susceptible to infections. Patients' body positioning also plays a role as improper positioning can lead to aspiration of bacteria into the lungs. The level of consciousness of the patient is another risk factor as those who are unable to protect their airway are at higher risk. Additionally, medications such as sedative agents and antibiotics can contribute to the development of pneumonia by altering the normal flora of the respiratory tract.

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  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Aug 03, 2014
    Quiz Created by
    Cramel
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