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Fowlers position facilitates lung expansion and

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5. Fowler's position facilitates lungexpansion and reduces the workloadof breathing.The nurse is caring for the client diagnosed with ARDS. Whichinterventionsshould 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 preventfurther lung damageWhich instruction is priority for the nurse to discuss with the clientdiagnosed withARDS who is being discharged from the hospital?
1. When peak airway pressure is
increased, the nurse should implementthe intervention least invasive for theclient. This alarm goes off with aplugged airway, "bucking" in theventilator, decreasing lung compliance,kinked tubing, or pneumothorax.The client diagnosed with ARDS is on a ventilator andthe high alarm indicates anincrease in the peak airway pressure. Which intervention should the nurseimplement first?
2. Deep partial-thickness burns are scaldsand flash burns that injure the epidermis,upper dermis, and portions of the deeperdermis. This causes pain, blistered andmottled red skin, and edemaThe client comes into the emergency room in severepain and reports that a pot ofboiling hot water accidentally spilled on his lower legs. The assessment revealsblistered, mottled red skin, and both feet are edematous. Which depth of burnshould the nurse document?

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Term
Fall
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Arterial blood gas

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