A patient with an IBW of 75 kg has been receiving noninvasive ventilation (NIV) therapy for 30 minutes due to worsening hypercapnia and hypoxemia with the following settings below. The patient is awake, alert, and following commands. IPAP=10EPAP=5Rate=10FiO2=60%Ti=1.0 secondsPatient Data listed below:Spontaneous Respiratory Rate=14Spontaneous VT= 290 mlsVe= 4.1 L/minI:E Ratio= 1:3The physician has requested you perform an ABG to see how he is doing and the results are shown below:pH=7.29PaCO2=58HCO3=26PaO2=50SaO2=83%Based on the ABG, what changes, if any, would you make to help correct the ABG?

When teaching a patient who is scheduled for a transurethral resection of the prostate (TURP) about continuous bladder irrigation, which information will the nurse include?

By using the capnograph waveform below, what would you say the patient’s PETCO2 is?

Which form of ECMO is primarily used in patients with respiratory failure but have adequate cardiac function

Ceftazidine 750 mg IM is ordered for a client with an infection. Ceftazadine is supplied as a powder that must be reconstituted. The instructions on the vial read: for IV injection reconstitute with 4.6 ml sterile water for a final concentration of 300 mg/ml; for IM injection reconstitute with 2.3 ml sterile water for a final concentration of 600 mg/ml. How much will be drawn up to deliver the ordered dose? (Round to the nearest tenth.)

The terminally ill patient asks the nurse for information about hospice care. The nurse would best respond by stating:

What is the Ideal Body Weight of a Male who is 5’10.

A 68-year-old male had a radical prostatectomy with a perineal resection due to a stage III cancerous tumor this morning. He is receiving continuous bladder irrigation (CBI) via a triple-lumen catheter with sterile normal saline; the orders are to infuse at a rate to keep the drainage light pink without clots. Twelve hours after the surgery, he reports having occasional bladder spasms, and currently his pain level is a “7” out of 10. The urine in the tubing is mostly clear, pink-tinged, with a rare clot noted. The perineal incision is dry and intact, with no drainage noted. Match the nursing actions listed below that are Indicated (appropriate or necessary), Contraindicated (could be harmful), or Nonessential (makes no difference or not necessary) for the patient’s care at this time.

Your patient is on VC AC with the following settings:f= 28VT=400Flow=60FiO2=50%Peep=8 An ABG was drawn to assess the patient’s ventilation and oxygenation levelspH=7.50PaCO2=30PaO2=120HCO3=24  The doctor states that a PaCO2 of 30 mmHg is too low and wants you to try to bring the PaCO2 value up to 40 mmHg. What should the rate be set at to increase the PaCO2 value to 40 mmHg? 

You have a patient who is on PC AC mode with the following settings. The patient has an IBW of 60 kg.  Vent Data:PC/ ACf=18 Inspiratory Pressure= 12Ti= 0.8 secondsFiO2=60%Peep=8Flow Trigger= 2 Patient DataPatient Rate=24Vte= 220 mlsVe=5.28 L/minI:E=1:4Peak=24Plateau=20Compliance=40The physician requested you draw an ABG to see how well the patient is doing with the current settings. The results are as followspH=7.27PaCO2=50PaO2= 100HCO3= 34SaO2=99%From the information provided, what ventilator changes, if any, would you make to correct the patient’s ABG?