A 58-year-old patient with acute respiratory failure due to…
A 58-year-old patient with acute respiratory failure due to pneumonia is being prepared for endotracheal intubation. The nurse is assisting the provider with the procedure. Which of the following actions is the nurse’s priority before intubation?
Read DetailsA nurse is caring for a patient who has been on mechanical v…
A nurse is caring for a patient who has been on mechanical ventilation for five days due to acute respiratory failure. The provider has ordered a spontaneous breathing trial (SBT) to assess the patient’s readiness for extubation. Which of the following findings would indicate that the patient is ready to be weaned from the ventilator?
Read DetailsA 30-year-old patient with a history of severe asthma arrive…
A 30-year-old patient with a history of severe asthma arrives at the emergency department in respiratory distress despite using their prescribed rescue inhaler at home. The patient is dyspneic, unable to speak in full sentences, and has audible wheezing. After administering high-dose albuterol and IV corticosteroids, the nurse notes that the patient’s wheezing suddenly disappears, and breath sounds are now nearly absent. What is the priority nursing action?
Read DetailsA 12-year-old patient with a history of asthma is admitted t…
A 12-year-old patient with a history of asthma is admitted to the emergency department with wheezing, shortness of breath, and use of accessory muscles. The nurse administers albuterol via nebulizer as prescribed. Which of the following findings indicate the treatment is effective?
Read DetailsA 70-year-old patient with acute respiratory distress syndro…
A 70-year-old patient with acute respiratory distress syndrome (ARDS) is admitted to the ICU and placed on mechanical ventilation due to worsening hypoxemia. The patient is agitated, fighting the ventilator, and attempting to remove the endotracheal tube despite verbal reassurance. The nurse reviews the patient’s current ventilator settings and assessment findings: Mode: Assist-Control (AC) Tidal Volume: 450 mL Respiratory Rate: 18 breaths per minute FiO₂: 70% PEEP: 12 cm H₂O Blood pressure: 140/88 mmHg Heart rate: 115 bpm The provider orders medication therapy to optimize patient comfort and ventilator synchrony. Which medications should the nurse anticipate administering? Select all that apply
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