RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023
Medical & Surgical Nursing
Easy
When the patient is on mechanical ventilation which of the following equipment should be kept ready at bedside ?
Appeared in: RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023
Explanation
- A manual resuscitation bag is a critical life-saving device for immediate use in emergencies like ventilator failure, power loss, or accidental extubation.
- It allows the nurse to manually provide breaths, ensuring the patient remains ventilated and oxygenated until the primary problem is resolved.
- Keeping a manual resuscitation bag at the bedside is a universal safety standard for any patient who is dependent on mechanical ventilation.
- This equipment provides a crucial bridge to maintain life during an acute respiratory crisis or equipment malfunction.
Why Other Options Were Wrong
- Option A: A water seal chest drainage system is not required for all patients on mechanical ventilation.
- Option C: An oxygen analyser is typically an integrated part of the mechanical ventilator itself, not a separate piece of emergency equipment kept at the bedside.
- Option D: A tracheostomy cleaning kit is for routine care, not an immediate life-saving intervention, and is only for a specific type of airway.
Related Visual
Clinical Relevance
- Nursing practice connection: Use the key finding related to Bedside safety and emergency preparedness for mechanically ventilated patients to guide bedside assessment, documentation, and the next nursing action.
- A core nursing responsibility is to perform a safety check at the beginning of every shift to ensure all necessary emergency equipment, including a functional manual resuscitation bag and suction, is present at the bedside of a ventilated patient.
- Failure to have this equipment ready can lead to significant delays in care during an emergency, resulting in hypoxic brain injury or death.
- What if? If a ventilated patient suddenly self-extubates, the nurse's immediate action is to call for help and begin ventilating the patient with the manual resuscitation bag while preparing for re-intubation. This maintains oxygenation and prevents respiratory arrest.
How to Approach the Question
- First, identify the central concept of the question: essential safety equipment for a patient on mechanical ventilation.
- The question asks what should always be ready, implying a universal need for any patient in this situation.
- Evaluate each option based on its purpose. Is it for a universal need or a specific, conditional situation?
- A 'Water seal chest drainage' is for a chest tube (conditional).
- An 'Oxygen analyser' is part of the ventilator machine (not separate emergency gear).
- A 'Tracheostomy cleaning kit' is for a tracheostomy (conditional).
Concept Tested & Keywords
- Concept Tested: Bedside safety and emergency preparedness for mechanically ventilated patients.
- Stem keywords: mechanical ventilation, bedside equipment, ready at bedside
- Lead-in keywords: which of the following
- Negative lead-in flag: false
Question ID
QSh7myONXOFyOhDXeRz9xs
Reference Book
E6 Nursing Fundamentals Taylor p. 736-738
E6 Nursing Fundamentals Potter Perry 12e Part 5 p. 11-13
Practise the full RUHS, Jaipur, M.Sc Nursing Entrance Exam-2023
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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