increase the oxygen flow rate. Show rationale:
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CHAPTER 68 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome Terms in this set (22). To evaluate the effectiveness of prescribed therapies for a patient with ventilatory failure, which diagnostic test will be most useful to the nurse? ANS: C DIF: Cognitive Level: Application REF: 1752-1754 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%. The nurse will ANS:
A DIF: Cognitive Level: Application REF: 1747-1749 | 1754 A patient with respiratory failure has a respiratory rate of 8 and an SpO2 of 89%. The patient is increasingly lethargic. The nurse will anticipate assisting with ANS: B DIF:
Cognitive Level: Application REF: 1754-1756 TOP: Nursing Process: Planning The pulse oximetry for a patient with right lower lobe pneumonia indicates an oxygen saturation of 90%. The patient has rhonchi, a weak cough effort, and complains of fatigue. Which action is best for the nurse to take? ANS: C DIF: Cognitive Level: Application REF: 1754-1755 When the nurse is caring for an obese patient with left lower lobe pneumonia, gas exchange will be best when the patient is positioned ANS: B DIF: Cognitive Level: Application REF: 1754-1755 When
admitting a patient in possible respiratory failure with a high PaCO2, which assessment information will be of most concern to the nurse? ANS: A DIF: Cognitive Level: Application REF: 1751 A patient with acute respiratory distress syndrome (ARDS) and acute renal failure has the following medications prescribed. Which medication should the nurse
discuss with the health care provider before administration? ANS: B DIF: Cognitive Level: Application REF: 1761-1762 A patient develops increasing dyspnea and hypoxemia 2 days after having cardiac surgery. To determine whether the patient has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by left ventricular failure, the nurse will anticipate assisting with ANS: A DIF: Cognitive Level: Application REF: 1753-1754 Which assessment finding by the nurse when caring for a patient with ARDS who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP) indicates that the PEEP may need to be
decreased? ANS: A DIF: Cognitive Level: Application REF: 1760-1761 Which statement by the nurse when explaining the purpose of positive end-expiratory pressure (PEEP) to the family members of a patient with ARDS is correct? ANS: D DIF: Cognitive Level:
Comprehension REF: 1761-1762 When prone positioning is used in the care of a patient with acute respiratory distress syndrome (ARDS), which information obtained by the nurse indicates that the positioning is effective? ANS: A DIF: Cognitive Level: Application REF: 1762-1763 TOP: Nursing Process: Evaluation The nurse obtains the vital signs for a patient admitted 2 days ago with gram-negative sepsis: temperature 101.2° F, blood pressure 90/56 mm Hg, pulse 92, respirations 34. Which action should the nurse take next? ANS:
C DIF: Cognitive Level: Application REF: 1758 | 1760 To decrease the risk for ventilator-associated pneumonia, which action will the nurse include in the plan of care for a patient who requires intubation and mechanical ventilation? ANS: C DIF: Cognitive Level: Application REF: 1760-1761 TOP:
Nursing Process: Planning A patient has a nursing diagnosis of ineffective airway clearance related to thick, secretions. Which action will be best for the nurse to include in the plan of care? ANS: B DIF: Cognitive Level:
Application REF: 1755 TOP: Nursing Process: Planning A patient with acute respiratory distress syndrome (ARDS) who is intubated and receiving mechanical ventilation develops a pneumothorax. Which action will the nurse anticipate taking? ANS: A DIF: Cognitive Level: Application REF: 1760-1761 TOP: Nursing Process: Planning After receiving change-of-shift report, which patient will the nurse assess first? ANS: D DIF: Cognitive Level: Analysis REF: 1758-1760 A patient with chronic obstructive pulmonary disease
(COPD) arrives in the emergency department complaining of shortness of breath and dyspnea. Which assessment finding by the nurse is most important to report to the health care provider? ANS: C DIF: Cognitive Level: Application REF: 1751-1752 When assessing a patient with chronic lung disease, the nurse finds a sudden onset of agitation and confusion. Which action should the nurse take first? ANS: D DIF: Cognitive Level: Application REF: 1750-1751 The nurse is caring for a 22-year-old patient who came to the emergency department with acute respiratory distress. Which information about the patient requires the most rapid action by the nurse? ANS: C DIF: Cognitive Level: Application REF: 1746-1747 The nurse is caring for a patient who was hospitalized 2 days earlier with aspiration pneumonia. Which assessment information is most important to communicate to the health care provider? ANS: D DIF: Cognitive Level: Application REF: 1760 Which of these nursing actions included in the care of a mechanically ventilated patient with acute respiratory distress syndrome (ARDS) can the RN delegate to an experienced LPN/LVN working in the intensive care
unit? ANS: B DIF: Cognitive Level: Application REF: 1761-1763 A patient with ARDS who is receiving mechanical ventilation using synchronized intermittent
mandatory ventilation (SIMV) has settings of fraction of inspired oxygen (FIO2) 80%, tidal volume 500, rate 18, and positive end-expiratory pressure (PEEP) 5 cm. Which assessment finding is most important for the nurse to report to the health care provider? ANS: A DIF: Cognitive Level: Analysis REF: 1760 | 1761-1762 Sets with similar termsChapter 67: Acute Respiratory Failure and Acute Re…26 terms aras0225 Lewis Chapter 6827 terms jdnguyen10 Lewis Chapter 68: Acute Respiratory Failure and AR…27 terms Kaitlin_Agee Respiratory Failure and Acute Respiratory Distress…26 terms marlene_smith9 Sets found in the same folderChapter 29: Nursing Management- Obstructive Pulmon…41 terms jamiec123
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Lewis - Chapter 28: Nursing Management: Lower Resp…50 terms bbradley2269 Chapter 28: Nursing Management- Lower Respiratory…35 terms jlocklear5644 How is ventilatory failure treated?Treatments for respiratory failure may include oxygen therapy, medicines, and procedures to help your lungs rest and heal. Chronic respiratory failure can often be treated at home. If you have serious chronic respiratory failure, you may need treatment in a long-term care center.
Which drug is effective in acute ventilatory failure?Bronchodilators are an important component of treatment in respiratory failure caused by obstructive lung disease. These agents act to decrease muscle tone in both small and large airways in the lungs. This category includes beta-adrenergics, methylxanthines, and anticholinergics.
How do you determine ventilatory failure?A doctor may diagnose you with respiratory failure based on the oxygen and carbon dioxide levels in your blood, a physical exam to see how fast and shallow your breathing is and how hard you are working to breathe, as well as the results of lung function tests.
How would you know if a patient is in ventilatory failure?When ventilatory failure is due to increased load, signs include vigorous use of accessory ventilatory muscles, tachypnea, tachycardia, diaphoresis, anxiety, declining tidal volume, irregular or gasping breathing patterns, and paradoxical abdominal motion.
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To evaluate the effectiveness of prescribed therapies for a patient with ventilatory failure
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