NUR265 Exam 2 Holmes mock ANSWERED 100% CORRECT

NUR265 Exam 2 Holmes mock ANSWERED 100% CORRECT The nurse notes each time the mechanical ventilator delivers a breath to a client with acute respiratory distress syndrome (ARDS), the peak inspiratory pressure alarm sounds. What is the nurse’s best intervention?A client has a new tracheostomy, on a mechanical ventilator with the following settings: SIMV, rate of 12, TV 800, FIo2 80% and PEEP of 5 cmH20. Which assessment finding requires immediate action by the nurse?The nurse palpates the posterior chest while the client says “99” and notes absent fremitus. Which action should the nurse take next?The nurse is caring for a client with a pulmonary embolus, also has right-sided heart failure. Which clinical findings requires immediate follow up? The nurse has been made aware of the arterial blood gas (ABG) results on four clients. Which result is most important for the nurse to report immediately to the health care provider?The nurse monitors a client immediately following a chest tube insertion for a hemopneumothorax. Which of the following assessment findings requires immediate follow up?