The nurse is caring for a client with sepsis and acute respiratory failure who has intubated and prescribed mechanical ventialtion  3 days  ago. The nurse assesses for which adverse effect associated with the administration of high PEEP? Hypokalemia Hypotension Dehydration Increased cardiac output

The nurse care for a mechanically ventilated patient who has an acute respiratory distress syndrome (ARDS) and was prescribed high level positive end expiratory pressure (PEEP_ settings. Which new assessment finding is the priority to report to the health care provider? 1. Tracheal deviation slightly towards the left side 2.  Pulse oximeter SPO2 reading of 91% 3. Pitting edema of the upper extremities bilaterally 4. Blood pressure decrease from 122/80 to 90/70 mm Hg

A patient newly diagnosed of septic shock has a BP of 80/46  mm Hg, pulse 136, respiration 32, temperature 104F and blood glucose 246 mg/dl . Which intevention ordered by the health care provider should the nurse implement. first? 1. start a vasopresor to  keep systolic blood pressure >90 mm HG 2.Give acetaminophen 650 mg rectally y to reduce fever 3. start 0.9% normal saline IVF at 500 ml/hr via central line 4. Start insulin drip to maintain glucose at 110 to 150 mg DL

The nurse is  caring for a client with respiratory alkalosis.which of the following assessment findings are consistent with the diagnosis. A. PaCo2 and Hco3 levels are low B. increased PH level coupled with low CO2 C. Low PH and high bicarbonate leveld.PH=7.38, CO2=48. HCo3=25 D. Low PH and High bicarbonate level

The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The client’s vital signs are Temp 97.2°F, HR 105, RR 24 and BP 110/50. The client has had only 30 mL urine output since arriving to the postoperative unit. The client is arousable and slow to respond to commands, but has become slightly restless, shifting in bed frequently. The client states that they “hurt” and asks for something to drink. The last dose of IV pain medication was given to the client just before leaving the surgical suite. Review the patient scenario and select 3 pieces of data that you feel is important for the nurse to know and assess. Explain the significance of the data in relationship to the surgical patient. Please provide your rationale.

An 84 year old female patient has been admitted to the hospital for exacerbation of COPD. The patient has a history of lung cancer, presently in remission. The patient is a widow who lives alone, is functionally independent in her ADLs. She has a child who lives out of state. History of being a former pack/day smoker and quit over 20 years ago. The nurse doing his rounds finds the following on assessment. Vitals: T102.1(oral), P102 (regular), R24, BP128/63, SPO2 86% on 2L NC Noted barrel chest presentation Productive cough with dark red sputum Noted wheezing on auscultation visible shortness of breath, dyspnea on exertion abdomen soft, round, and non-tender shaking with chills Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this patient? Why?

A client who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. In preparing the client for the procedure, which intervention has the highest priority? Allow client to gargle with warm salt water. Administer a sedative to alleviate anxiety. Instruct client to write down the questions. Deny client's request for a midnight snack.

A 67yo male is admitted to the unit with a dx of CHF. Pt states, “I get short of breath before I’m able to make it up one flight of stairs to my room.” He also reports having to take frequent breaks while doing everyday activities. During your assessment you observe his skin to be pale pink, with swelling in his hand and feet. You also notice pt leaning forward in the bed to breathe with labored breath sounds.

A 60-year-old male with a known history of chronic obstructive pulmonary disease (COPD) presents to the ED with increased shortness of breath, productive cough, and wheezing. His vital signs are: BP 150/90 mmHg, HR 110 bpm, RR 26 breaths/min, SpO2 88% on room air. What is the first-line nursing management? The first-line nursing management for a COPD exacerbation is to administer ________.

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