A client with a 10-year history of emphysema is hospitalized for acute respiratory
distress. Which assessment finding would the nurse expect to identify?
1) Chest pain on inspiration
2) Prolonged expiration with use of accessory muscles
3) Signs and symptoms of respiratory alkalosis
4) Decreased respiratory rate
Give this one a try later!
, 2) Prolonged expiration with use of accessory muscles
Rationale:
Accessory muscles are used during respiration because of the increased
rigidity of the chest. Sudden pleuritic chest pain is associated with
pulmonary embolism, not emphysema. Respiratory acidosis, not alkalosis, is
associated with emphysema because of carbon dioxide retention. Clients
with respiratory muscle fatigue breathe with rapid, shallow respirations.
Which medical intervention would the nurse anticipate will be included in the
management of a client with acute respiratory distress syndrome (ARDS)?
1) Chest tube insertion
2) Aggressive diuretic therapy
3) Administration of beta-blockers
4) Positive end-expiratory pressure (PEEP)
Give this one a try later!
4) Positive end-expiratory pressure (PEEP)
Rationale:
Mechanical ventilation with PEEP will help prevent alveolar collapse and
improve oxygenation. Fluid is not in the pleural space, so chest tube
insertion is not indicated. Aggressive diuretic therapy and administration of
beta blockers are contraindicated because of severe hypotension from the
fluid shift into the interstitial spaces in the lungs.
The nurse is caring for a client with the following arterial blood gas (ABG) values: PO2
89 mm Hg, PCO2 35 mm Hg, and pH of 7.37. These findings indicate that the client is
experiencing which condition?
1) Respiratory alkalosis
2) Poor oxygen perfusion
3) Normal acid-base balance
4) Compensated metabolic acidosis
distress. Which assessment finding would the nurse expect to identify?
1) Chest pain on inspiration
2) Prolonged expiration with use of accessory muscles
3) Signs and symptoms of respiratory alkalosis
4) Decreased respiratory rate
Give this one a try later!
, 2) Prolonged expiration with use of accessory muscles
Rationale:
Accessory muscles are used during respiration because of the increased
rigidity of the chest. Sudden pleuritic chest pain is associated with
pulmonary embolism, not emphysema. Respiratory acidosis, not alkalosis, is
associated with emphysema because of carbon dioxide retention. Clients
with respiratory muscle fatigue breathe with rapid, shallow respirations.
Which medical intervention would the nurse anticipate will be included in the
management of a client with acute respiratory distress syndrome (ARDS)?
1) Chest tube insertion
2) Aggressive diuretic therapy
3) Administration of beta-blockers
4) Positive end-expiratory pressure (PEEP)
Give this one a try later!
4) Positive end-expiratory pressure (PEEP)
Rationale:
Mechanical ventilation with PEEP will help prevent alveolar collapse and
improve oxygenation. Fluid is not in the pleural space, so chest tube
insertion is not indicated. Aggressive diuretic therapy and administration of
beta blockers are contraindicated because of severe hypotension from the
fluid shift into the interstitial spaces in the lungs.
The nurse is caring for a client with the following arterial blood gas (ABG) values: PO2
89 mm Hg, PCO2 35 mm Hg, and pH of 7.37. These findings indicate that the client is
experiencing which condition?
1) Respiratory alkalosis
2) Poor oxygen perfusion
3) Normal acid-base balance
4) Compensated metabolic acidosis
