Deck 14: Procedures Related to Mechanical Ventilation

Question 1

During chest tube placement, incisions or punctures are done below the rib because arteries, veins, and intercostal nerves all lie above each rib.

Answer 1

False

Question 2

Diazepam or a suitable benzodiazepine is administered intramuscularly to provide sedation.

Answer 2

False

Question 3

The most common indication for intrahospital transport of mechanically ventilated patients is to acquire diagnostic procedures at a location other than the intensive care setting.

Answer 3

True

Question 4

For intrahospital transport of mechanically ventilated patients, manual ventilation is preferable to transport ventilator.

Question 5

A chest tube can be removed when the pleural drainage has stopped or slowed to less than 100 mL over the preceding 24 hours.

Question 6

In ____, a finger is inserted into the incision for inspection of the pleural space.

A) operative tube thoracostomy
B) trocar tube thoracostomy
C) diagnostic bronchoscopy
D) therapeutic bronchoscopy

Question 7

To treat pneumothorax, the chest tube is usually placed at the ____.

A) fourth to sixth intercostal space along the midclavicular line or midaxillary line
B) fourth to sixth intercostal space at the midaxillary line
C) second or third intercostal space anteriorly along the midclavicular line or midaxillary line
D) second intercostal space anteriorly along the midclavicular line

Question 8

The ____ drainage system is the most common chest tube drainage system.

A) one-chamber
B) two-chamber
C) three-chamber
D) four-chamber

Question 9

A ____ is a sharply pointed instrument for incision into the chest cavity.

A) chest tube
B) trocar
C) forceps biopsy
D) TBLB

Question 10

A ____ is used to provide diagnostic and therapeutic procedures for conditions involving the airways and lungs.

A) thoracostomy tube
B) trocar
C) fiberoptic bronchoscope
D) bronchial alveolar lavage

Question 11

____ may be used as a treatment modality because of the small size and versatility of the flexible bronchoscope.

A) TBAB
B) Therapeutic bronchoscopy
C) TBLB
D) Diagnostic bronchoscopy

Question 12

Examples of therapeutic uses for fiberoptic bronchoscopy include removal of small foreign objects and ____.

A) collection of tissue sample
B) removal of endobronchial tissues
C) evaluation of lung tumors
D) drainage of an abscess

Question 13

____ is given to the patient via aerosol 30 minutes before a bronchoscopy.

A) Lidocaine
B) Atropine sulfate
C) Morphine sulfate
D) Diazepam

Question 14

Which of the following medications for bronchoscopy provides pain relief and suppresses coughing during the procedure?

A) lidocaine
B) morphine sulfate
C) atropine sulfate
D) benzodiazepine

Question 15

____ is sometimes necessary to obtain a definitive diagnosis based on preliminary radiographic findings.

A) TBNAB
B) TBLB
C) Bronchial Brushing
D) Forceps biopsy

Question 16

There have been reports of transmission and outbreak of Mycobacterium tuberculosis and ____ infections caused by the flexible bronchoscope.

A) Streptococcus pneumonia
B) Pseudomonas aeruginosa
C) Escherichia coli
D) Staphylococcus aureus

Question 17

Hypoxemia and ____ are the most common complications during and after bronchoscopy.

A) arrhythmias
B) tension pneumothorax
C) bleeding
D) infection

Question 18

Pressure support ventilation, volume and pressure control ventilation, inverse ratio ventilation, display of expired volume, visual and audible alarms, and ____ are desirable on a transport ventilator.

A) CPAP
B) a pulse oximeter
C) PEEP
D) manual ventilation device

Question 19

Which of the following is a MRI-compatible ventilator?

A) Impact 754 Eagle Uni-Vent
B) Crossvent2
C) LTV1000
D) MAXO₂Vent

Question 20

Common indications for chest tube include large pneumothorax (>25%), hemothorax, and ____.

A) pleural effusion
B) emphysema
C) chest trauma
D) heart failure

Question 21

The _______________ tube thoracostomy requires a smaller incision and provides less tissue trauma and less patient discomfort.

Question 22

_______________ reduces vagal response, oral secretions, and bronchospasm.

Question 23

A patient should not be transported when their _______________ status is deteriorating or unstable.

Question 24

Transport equipment coming near the _______________ scanner must be resistant to the magnetic field produced by the scanner.

Question 25

Typically, biopsies collect tissue samples for examination whereas _______________ collects samples for cytological examination.

Question 26

List four key points to ensure proper functioning of a chest tube during patient transport.

Question 27

What are the indications for diagnostic bronchoscopy?

Question 28

Explain postbronchoscopy care.

Question 29

Describe the two-chamber drainage system.

Question 30

What are the contraindications for transport of mechanically ventilated patients?