Question 1

A nurse is caring for a patient with ARDS who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP) .Which assessment finding by the nurse indicates that the PEEP may need to be reduced?

Accepted Answer

A)   The patient's PaO2 is 50 mm Hg and the SaO2 is 88%.
B)   The patient has subcutaneous emphysema on the upper thorax.
C)   The patient has bronchial breath sounds in both the lung fields.
D)   The patient has a first-degree atrioventricular heart block with a rate of 58.E) A) and B)
F) A) and C)

Question 2

A nurse is caring for an obese patient with right lower lobe pneumonia.Which position will be best to improve gas exchange?

Accepted Answer

A)   On the left side
B)   On the right side
C)   In the tripod position
D)   In the high-Fowler's positionE) A) and D)
F) A) and C)

Question 3

A patient with acute respiratory distress syndrome (ARDS) is placed in the prone position.When prone positioning is used,which information obtained by the nurse indicates that the positioning is effective?

Accepted Answer

A)   The patient's PaO2 is 89 mm Hg, and the SaO2 is 91%.
B)   Endotracheal suctioning results in clear mucous return.
C)   Sputum and blood cultures show no growth after 48 hours.
D)   The skin on the patient's back is intact and without redness.E) C) and D)
F) None of the above

Question 4

The oxygen saturation (SpO2) for a patient with left lower lobe pneumonia is 90%.The patient has rhonchi,a weak cough effort,and complains of fatigue.Which action is a priority for the nurse to take?

Accepted Answer

A)   Position the patient on the left side.
B)   Assist the patient with staged coughing.
C)   Place a humidifier in the patient's room.
D)   Schedule a 2-hour rest period for the patient.E) A) and B)
F) A) and C)

Question 5

A patient admitted with acute respiratory failure has a nursing diagnosis of ineffective airway clearance related to thick,secretions.Which action is a priority for the nurse to include in the plan of care?

Accepted Answer

A)   Encourage use of the incentive spirometer.
B)   Offer the patient fluids at frequent intervals.
C)   Teach the patient the importance of ambulation.
D)   Titrate oxygen level to keep O2 saturation >93%.E) None of the above
F) C) and D)

Question 6

When admitting a patient with possible respiratory failure with a high PaCO2,which assessment information should be immediately reported to the health care provider?

Accepted Answer

A)   The patient is somnolent.
B)   The patient complains of weakness.
C)   The patient's blood pressure is 164/98.
D)   The patient's oxygen saturation is 90%.E) C) and D)
F) None of the above

Question 7

While caring for a patient who has been admitted with a pulmonary embolism,the nurse notes a change in the patient's oxygen saturation (SpO2) from 94% to 88%.Which action should the nurse take next?

Accepted Answer

A)   Increase the oxygen flow rate.
B)   Suction the patient's oropharynx.
C)   Instruct the patient to cough and deep breathe.
D)   Help the patient to sit in a more upright position.E) A) and B)
F) All of the above

Exam 64: Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

A patient admitted with acute respiratory failure has a nursing diagnosis of ineffective airway clearance related to thick,secretions.Which action is a priority for the nurse to include in the plan of care?

Correct Answer
verified

When admitting a patient with possible respiratory failure with a high PaCO₂,which assessment information should be immediately reported to the health care provider?

Correct Answer
verified

A nurse is caring for an obese patient with right lower lobe pneumonia.Which position will be best to improve gas exchange?

Correct Answer
verified

A nurse is caring for a patient with ARDS who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP) .Which assessment finding by the nurse indicates that the PEEP may need to be reduced?

Correct Answer
verified

The oxygen saturation (SpO₂) for a patient with left lower lobe pneumonia is 90%.The patient has rhonchi,a weak cough effort,and complains of fatigue.Which action is a priority for the nurse to take?

Correct Answer
verified

While caring for a patient who has been admitted with a pulmonary embolism,the nurse notes a change in the patient's oxygen saturation (SpO₂) from 94% to 88%.Which action should the nurse take next?

Correct Answer
verified

A patient with acute respiratory distress syndrome (ARDS) is placed in the prone position.When prone positioning is used,which information obtained by the nurse indicates that the positioning is effective?

Correct Answer
verified

Exam 64: Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

A patient admitted with acute respiratory failure has a nursing diagnosis of ineffective airway clearance related to thick,secretions.Which action is a priority for the nurse to include in the plan of care?

Correct AnswerverifiedShow Answer

When admitting a patient with possible respiratory failure with a high PaCO2,which assessment information should be immediately reported to the health care provider?

Correct AnswerverifiedShow Answer

A nurse is caring for an obese patient with right lower lobe pneumonia.Which position will be best to improve gas exchange?

Correct AnswerverifiedShow Answer

A nurse is caring for a patient with ARDS who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP) .Which assessment finding by the nurse indicates that the PEEP may need to be reduced?

Correct AnswerverifiedShow Answer

The oxygen saturation (SpO2) for a patient with left lower lobe pneumonia is 90%.The patient has rhonchi,a weak cough effort,and complains of fatigue.Which action is a priority for the nurse to take?

Correct AnswerverifiedShow Answer

While caring for a patient who has been admitted with a pulmonary embolism,the nurse notes a change in the patient's oxygen saturation (SpO2) from 94% to 88%.Which action should the nurse take next?

Correct AnswerverifiedShow Answer

A patient with acute respiratory distress syndrome (ARDS) is placed in the prone position.When prone positioning is used,which information obtained by the nurse indicates that the positioning is effective?

Correct AnswerverifiedShow Answer

Correct Answer
verified

When admitting a patient with possible respiratory failure with a high PaCO₂,which assessment information should be immediately reported to the health care provider?

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

The oxygen saturation (SpO₂) for a patient with left lower lobe pneumonia is 90%.The patient has rhonchi,a weak cough effort,and complains of fatigue.Which action is a priority for the nurse to take?

Correct Answer
verified

While caring for a patient who has been admitted with a pulmonary embolism,the nurse notes a change in the patient's oxygen saturation (SpO₂) from 94% to 88%.Which action should the nurse take next?

Correct Answer
verified

Correct Answer
verified