a On the left side c In the tripod position b On the right side d In the high

A on the left side c in the tripod position b on the

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a. On the left side c. In the tripod position b. On the right side d. In the high-Fowler’s position When prone positioning is used for a patient with acute respiratory distress syndrome (ARDS), which information obtained by the nurse indicates that the positioning is effective? a. The patient’s PaO 2 is 89 mm Hg, and the SaO 2 is 91%. b . Endotracheal suctioning results in clear mucous return.
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c. Sputum and blood cultures show no growth after 48 hours. d . The skin on the patient’s back is intact and without redness. Pt is on a bronchodilator. Family asks what it is. How do you answer? Opens up airway. Hx of COPD and HF. feel good during the day, but when he lays down he cannot breathe. What do we educate him about it? PND, what does it do? Because fluid is settling there. Have patient sit up a little. A patient who has chronic heart failure tells the nurse, “I was fine when I went to bed, but I woke up in the middle of the night feeling like I was suffocating!” The nurse will document this assessment finding as a. orthopnea. c. paroxysmal nocturnal dyspnea. b . pulsus alternans. d. acute bilateral pleural effusion. Treatments for pulmonary emboli. What will you do for the pt. While caring for a patient who has been admitted with a pulmonary embolism, the nurse notes a change in the patient’s oxygen saturation (SpO 2 ) from 94% to 88%. Which action should the nurse take? a. Suction the patient’s oropharynx. b. Increase the prescribed O 2 flow rate. c. Instruct the patient to cough and deep breathe. d. Help the patient to sit in a more upright position. What to watch for with suspected respiratory failure? ABGs Which diagnostic test will provide the nurse with the most specific information to evaluate the effectiveness of interventions for a patient with ventilatory failure? a. Chest x-ray b . O 2 saturation
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c. Arterial blood gas analysis d . Central venous pressure monitoring The nurse is caring for a patient who arrived in the emergency department with acute respiratory distress. Which assessment finding by the nurse requires the most rapid action? a. The patient’s PaO 2 is 45 mm Hg. b . The patient’s PaCO 2 is 33 mm Hg. c. The patient’s respirations are shallow. d . The patient’s respiratory rate is 32 breaths/min. Pt with CABG 2 days ago is becoming hypoxic, dyspneic. Think he is going into ARDS. what do you look for/what do you want to know? 2 days after heart surgery, suspected ARDS, what equipment will you use? A patient develops increasing dyspnea and hypoxemia 2 days after heart surgery. To determine whether the patient has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by heart failure, the nurse will plan to assist with a. obtaining a ventilation-perfusion scan. b . drawing blood for arterial blood gases. c. positioning the patient for a chest x-ray. d . insertion of a pulmonary artery catheter. Complications of pt on a vent. How do we prevent them?
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  • Spring '19
  • Grace Edobor

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