Exam 3: Care of the Patient With Respiratory Failure

Which patients should the nurse identify as being at risk for developing type II hypoxemic hypercapneic failure? Select all that apply.

Which statement made by a new graduate nurse about invasive mechanical ventilation techniques is incorrect and requires additional teaching?

The nurse receives the following ABG result: pH = 7.00 PaCO₂ = 50 mm Hg PaO₂ = 89 mm Hg SaO₂ = 90% Based on the results, what should the nurse do first?

A patient is annoyed by a cough that occurs at change of seasons. What should the nurse explain to the patient about this symptom?

The nurse searches the health history of a patient diagnosed with an acute lung injury for a reason for the disease process. Which statement correctly identifies the cause for this type of lung injury?

A patient with chronic obstructive pulmonary disease (COPD) experiences shortness of breath. What should the nurse explain to the patient about this symptom?

A patient being mechanically ventilated is being considered for weaning. What intervention should the nurse take at this time? Select all that apply.

During multidisciplinary rounds, a discussion is held regarding the use of medications in acute respiratory distress syndrome (ARDS). Which statement is most accurate based upon published research findings?

A patient is diagnosed with type I hypoxemic failure. The nurse should realize that this type of respiratory failure is linked to what?

The nurse instructs a patient on the advantages of noninvasive mechanical ventilation (NIV). Which patient statement reflects a need for additional teaching?

A patient with ARDS is on a mechanical ventilator and is becoming increasingly restless with a heart rate of 128 bpm. The SaO₂ is 88% and the ventilator settings are FiO₂ 50%; PEEP 8 cm; AC 10 with a total respiratory rate of 30; and a tidal volume of 700 mL. There are coarse rhonchi audible in all lung fields. Which action should the nurse take?

A patient in the recovery phase of acute respiratory distress syndrome continues to experience difficulty with breathing. What should the nurse recognize as being the characteristics of this phase? Select all that apply.

The nurse is suctioning an intubated, mechanically ventilated patient. For which complication should the nurse assess this client?

Which arterial blood gas result indicates the development of an acute lung injury?

Which patient should the nurse identify as benefiting from the use of noninvasive ventilation (NIV)?

The high-pressure alarm on a patient's mechanical ventilator is sounding. What action should the nurse take? Select all that apply.