Exam 67: Acute Respiratory Failure and Acute Respiratory Distress Syndrome

After receiving change-of-shift report on a medical unit,which patient should the nurse assess first?

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 nurse is caring for a patient with ARDS who is being treated with mechanical ventilation and high levels of positive end-expiratory pressure (PEEP). Which assessment finding by the nurse indicates that the PEEP may need to be reduced?

A nurse is caring for a patient who is orally intubated and receiving mechanical ventilation. To decrease the risk for ventilator-associated pneumonia,which action will the nurse include in the plan of care?

A patient with acute respiratory distress syndrome (ARDS)who is intubated and receiving mechanical ventilation develops a right pneumothorax. Which collaborative action will the nurse anticipate next?

The oxygen saturation (SpO₂)for a patient with left lower lobe pneumonia is 90%. The patient has wheezes,a weak cough effort,and complains of fatigue. Which action should the nurse take next?

A patient with chronic obstructive pulmonary disease (COPD)arrives in the emergency department complaining of shortness of breath and dyspnea on minimal exertion. Which assessment finding by the nurse is most important to report to the health care provider?

The nurse is caring for a patient who is intubated and receiving positive pressure ventilation to treat acute respiratory distress syndrome (ARDS). Which finding is most important to report to the health care provider?

Which statement by the nurse when explaining the purpose of positive end-expiratory pressure (PEEP)to the patient's caregiver is accurate?

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 nurse is caring for a patient with acute respiratory distress syndrome (ARDS)who is receiving mechanical ventilation using synchronized intermittent mandatory ventilation (SIMV). The settings include fraction of inspired oxygen (FIO₂)of 80%,tidal volume of 450,rate of 16/minute,and positive end-expiratory pressure (PEEP)of 5 cm. Which assessment finding is most important for the nurse to report to the health care provider?

The nurse is caring for an older patient who was hospitalized 2 days earlier with community-acquired pneumonia. Which assessment information is most important to communicate to the health care provider?

Which information about a patient who is receiving cisatracurium (Nimbex)to prevent asynchronous breathing with the positive pressure ventilator requires action by the nurse?

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 patient with respiratory failure has a respiratory rate of 6 breaths/min and an oxygen saturation (SpO₂)of 88%. The patient is increasingly lethargic. Which intervention will the nurse anticipate?

Which actions should the nurse start to reduce the risk for ventilator-associated pneumonia (VAP)?

The nurse reviews the electronic health record for a patient scheduled for a total hip replacement. Which assessment data shown in the accompanying figure increase the patient's risk for respiratory complications after surgery?

Which nursing interventions included in the care of a mechanically ventilated patient with acute respiratory failure can the registered nurse (RN)delegate to an experienced licensed practical/vocational nurse (LPN/LVN)working in the intensive care unit?

When assessing a patient with chronic obstructive pulmonary disease (COPD),the nurse finds a new onset of agitation and confusion. Which action should the nurse take first?

When admitting a patient with possible respiratory failure and a high PaCO₂,which assessment information should be immediately reported to the health care provider?