Mosby questions Quiz 401 Critical Respiratory
a nurse is caring for a variety of clients , for which client is most essential for the nurse to implement measures to prevent pulmonary embolism
59 year old who had a knee replacement
A client is admitted to the ICU with acute pulmonary edema, which rapidly acting intravenous diuretic should the nurse anticipate being prescribed ?
Furosemide ( lasix)
a client with pulmonary embolus is intubated and placed on mechanical ventilation, what nursing action is important when suctioning a endotracheal tube
Hyperoxygenate with 100% oxygen before and after suctioning
A client is diagnosed with spontaneous pneumothorax what should be included in teaching plan
air will move from the lung into the pleural space
a client with acute respiratory distress syndrome is intubated and placed on a ventilator, how to care for him
assess the need for suctioning when the high pressure alarm of the ventilator is activated,
when a client suffers a complete pneumo there is a danger of a mediastinal shift , if such shift occurs what potential effect is a cause for concern
decreased filling of the right heart
which intervention should the nurse implement to help prevent atelectasis in a client with fractured ribs as a result of chest trauma
encouraging coughing and deep breathing
a client states that the health care provider said the tidal volume is slightly diminished and asks the nurse what this means, which explanation should the nurse provide about the volume of air being measured to determine tidal volume
exhaled after there is a normal inspiration
a client just had a thoracentesis , for which response is it most important for the nurse to observe the client
expectoration of blood
a client who acquired immunodeficiency syndrome develops pneumonia clients pao2 is 80 , arterial blood gas drawn to be 65
notify healthcare provider
a client is admitted to the hospital with a diagnosis of pneumonia, list the following actions in the order they should be accomplished
obtain data of history and physical status insert an Iv catheter to establish venous access collect a sputum sample for culture and sensitivitiy Administer prescribed antibiotic intravenous piggy back check peak and trough levels of the antibiotic
a client has an endotracheal tube, what are steps in order to be performed
obtain vitals, ausculate lungs, hyperreoxygenate, suction for 10 seconds , rotate catheter
how should the nurse monitor for the complication of subcutaneous emphysema after the insertion of chest tubes?
palpate around the tube insertion sites for crepitus
which intervention should the nurse anticipate will be included in managment of ARDS
positive end expiratory pressure
when caring for an intubated client , the nurse hears the high pressure alarm
remove secretions by suctioning
a client is extubated in the PACU , what response should they monitor for acute respiratory distress
restlessness
what clinical indicators should the nurse expect to identify when assessing an individual with a spontaneous pneumo
shortness of breath, unilateral chest pain