Fowlers position facilitates lung expansion and

5. Fowler's position facilitates lung
expansion and reduces the workload
of breathing. The nurse is caring for the client diagnosed with ARDS. Which
interventions
should the nurse implement? Select all that apply.
1. Assess the client's level of consciousness.
2. Monitor urine output every shift.
3. Turn the client every two (2) hours.
4. Maintain intravenous fluids as ordered.
5. Place the client in the Fowler's position.
1. Not smoking is vital to prevent
further lung damage Which instruction is priority for the nurse to discuss with the client
diagnosed with
ARDS who is being discharged from the hospital?

1. When peak airway pressure is
increased, the nurse should implement
the intervention least invasive for the
client. This alarm goes off with a
plugged airway, "bucking" in the
ventilator, decreasing lung compliance,
kinked tubing, or pneumothorax. The client diagnosed with ARDS is on a ventilator and
the high alarm indicates an
increase in the peak airway pressure. Which intervention should the nurse
implement first?
2. Deep partial-thickness burns are scalds
and flash burns that injure the epidermis,
upper dermis, and portions of the deeper
dermis. This causes pain, blistered and
mottled red skin, and edema The client comes into the emergency room in severe
pain and reports that a pot of
boiling hot water accidentally spilled on his lower legs. The assessment reveals
blistered, mottled red skin, and both feet are edematous. Which depth of burn
should the nurse document?