During a rapid sequence intubation, you expect the healthcare provider to order which of the following classes of medications?
Antihypertensive and anticoagulant medication
A short acting bronchodilator
A sedative, analgesic and a paralytic drug
An antibiotic
The Correct Answer is C
A. Antihypertensive and anticoagulant medication: These medications are not indicated for rapid sequence intubation. Their primary purposes—blood pressure control and prevention of clotting—do not facilitate airway management.
B. A short acting bronchodilator: Bronchodilators help open the airways in obstructive pulmonary conditions but do not provide sedation, pain relief, or muscle relaxation necessary for intubation.
C. A sedative, analgesic and a paralytic drug: Rapid sequence intubation requires a combination of medications to induce unconsciousness (sedative), relieve pain (analgesic), and produce muscle relaxation (paralytic) to allow safe and efficient endotracheal tube placement while minimizing patient movement and airway trauma.
D. An antibiotic: Antibiotics are not part of the RSI protocol. They are used to treat or prevent infections but do not facilitate intubation or airway management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. To prevent atmospheric air from entering the pleural space: Preventing air entry is primarily the role of the water seal chamber, which allows one-way flow of air out of the pleural space while preventing backflow.
B. To regulate the amount of suction applied to the chest tube: The suction control chamber determines how much negative pressure is transmitted to the pleural space. The level of water in this chamber controls the suction strength, helping maintain consistent and safe suction without causing lung tissue damage.
C. To collect drainage from the pleural space: Collecting fluid or blood is the function of the collection chamber, not the suction control chamber. The suction control chamber does not store drainage but regulates pressure.
D. To indicate the presence of an air leak: Air leaks are identified by observing bubbling in the water seal chamber, not the suction control chamber. Continuous or intermittent bubbling in the water seal indicates an air leak along the drainage system or from the pleural space.
Correct Answer is ["A","C"]
Explanation
A. Patient should be able to independently maintain an airway: Maintaining a patent airway is a primary goal in acute respiratory failure. This ensures adequate oxygenation and ventilation, reducing the risk of hypoxemia and hypercapnia.
B. Patient should be able to walk around the nurse's station 5 times every hour: Ambulation may be part of general recovery, but it is not a specific goal for managing acute respiratory failure. Focus should remain on airway, oxygenation, and ventilation.
C. Patient should be able to effectively cough and clear secretions on own: Effective secretion clearance prevents airway obstruction and infection, supporting oxygenation and reducing the risk of further respiratory compromise.
D. Patient should be fever free for 24 hours: While controlling infection may be important, being fever-free is not a direct goal of managing acute respiratory failure. The primary focus is on airway and gas exchange.
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