Exam 63: Management of Clients with Acute Pulmonary Disorders

A client with pulmonary edema is receiving intravenous nitroglycerin. The spouse becomes upset and says "Nobody told me my spouse had a heart attack!" The best response by the nurse is to say "The nitroglycerin

As part of the immediate care plan for a client with pulmonary edema and a nursing diagnosis of Impaired Gas Exchange, the nurse would

A client has rapidly progressing ARDS. Which actions by the nurse can help the family during this crisis? (Select all that apply.)

When a client is admitted to the ED with tension pneumothorax and mediastinal shift following an automobile accident, the nurse would know that the client would exhibit

A client with respiratory failure was intubated with an oral endotracheal (ET) tube 2 hours ago. Suspecting that the tube has changed position slightly since insertion, the nurse would assess the

A client who sustained a head injury is intubated and receiving volume-cycled mechanical ventilation via the controlled mechanical ventilation (CMV) mode. The nurse would explain that this means

After dressing a sucking chest wound, the nurse notes that the client is developing severe dyspnea, tachypnea, cyanosis, tachycardia, and asymmetrical chest movements. The nurse would

A client has severe adult (acute) respiratory distress syndrome (ARDS) and has not responded to several different treatments. An independent nursing action that might help the client would be to

The nurse planning care for an intubated client includes which interventions to prevent accidental extubation? (Select all that apply.)

Once a near-drowning victim is stabilized, the nurse would continue to assess the client for

When a client is admitted to the ED with a sucking chest wound, the nurse initially would

A client is being transported to the ED after sustaining carbon monoxide (CO) poisoning in a house fire. The nurse would prepare to administer

When the ED nurse receives a radio call from an ambulance transporting a client who sustained chest trauma and has a severe flail chest, the nurse would set up the treatment area with

The nurse would determine that a client is having a dysfunctional ventilatory weaning response if the client's respiratory rate rises to

A client who underwent surgery is intubated and receiving mechanical ventilation. The client is receiving a neuromuscular blocking agent to stop spontaneous breathing that is not in synchrony with the ventilator. The appropriate approach by the nurse to the client's postoperative pain control would be

When a client with a cuffed ET tube reports shortness of breath, the nurse would

The nurse would explain that the use of positive end-expiratory pressure (PEEP) assists the client on mechanical ventilation by

When a client developed a hemothorax, the physician inserted a chest catheter connected to a drainage system. In the first 2 hours, 900 ml of blood drainage was collected. The nurse would

The nurse monitoring a client with adult respiratory distress syndrome (ARDS) would closely assess for

A client who was extubated 2 hours ago is becoming increasingly restless. The last vital signs before extubation were pulse 88 beats/min, respirations 18 breaths/min, blood pressure (138/78)mm Hg, and PaCO₂ 45 mm Hg. Current vital signs include pulse 104 beats/min, respirations 26 breaths/min, blood pressure (140/80) mm Hg, and PaCO₂ 62 mm Hg. The nurse would