WCCC Nursing 270 Exam Respiratory Failure With Correct Solution.

WCCC Nursing 270 Exam Respiratory Failure With Correct Solution. How do we help clear secretions and aerate the lungs? -Answer-Effective coughing and deep breathing How does breathing work? -Answer--Intercostal muscle retraction -Use of accessory muscles in respiratory cycle This is the start of book slides -Answer- What are respiratory therapy interventions? -Answer-O2 Therapy -Rational: *Changes in mental status *Respiratory rate *ABGs What are the clinical manifestations of respiratory failure? -Answer--Sudden or gradual onset -Can rapidly become life threatening -Change in mental status - One of first signs of hypoxemia What are the diagnostic assessments of acute respiratory failure? -Answer--History and Physical examination -Arterial blood gases (ABGs) -Pulse oximetry -Chest X-ray -CBC and differential -Serum electrolytes -12-Lead ECG -Blood, Sputum, and/or Urine (if indicated) -Hemodynamic monitoring: CVP, PAWP (if indicted) Rational: Obtain baseline What are the early signs of respiratory failure? -Answer-Tachycardia Tachypnea Slight diaphoresis Mild hypertension What are the later signs of respiratory failure? -Answer--Increased work of breathing *Use of accessory muscles -Dyspnea -Orthopnea