AACN ECCO Pulmonary Part 1

AACN ECCO Pulmonary Part 1 What are the nursing priorities for patient care before, during, or after thoracentesis? - Position patient sitting on or lying... Continually monitor... Help attach tubes to chest drainage... A nurse caring for a patient with ARDS on BiPAP observes rapid progression and tachypnea with RR between 37 and 41. What intervention should the nurse anticipate? - Call emergency team for rapid intubation A patient has the following ABG results: pH 7.25, PaCO2 43, PaO2 80, SaO2 91%, and HCO3- 18. What is the most likely underlying cause? - Acute kidney injury Which patient has an indication for oxygen therapy with a low-flow device? - Who is postoperative... A patient with respiratory failure following cardiac surgery has crackles in bilateral posterior lower lobes and is on 4 L/min NC. Which interventions will promote normal respiratory function? - Reduce anxiety... Ensure early progressive mobility... Administer bronchodilators... A nurse monitoring a patient undergoing bedside bronchoscopy notes a decline in a patient's oxygen saturation. Which should the nurse anticipate? - Auscultate lung sounds... Provide supplemental O2... Monitor EtCO2 The ABG test results for a patient with a spinal cord injury are pH 7.29, PaCO2 54, and HCO3- 25. Which acid-base disorder is reflected? - Respiratory acidosis A patient with COPD on PEEP reports sudden chest pain. The nurse observes tachycardia and shortness of breath. Which other conditions should the nurse expected? - Decreased PaCO2 levels... Decreased chest excursion on one side... Decreased SaO2 level Which are correct statements about a closed-chest drainage system or component? - To drain, system pressure must be lower... Gravity, and sometimes suction... Wet suction chambers create suction... A nurse caring for a patient with worsening hypoxia should anticipate which signs of ARDS? - PaO2/FiO2 below 300... PEEP requirements of at least 5... Respiratory failure unexplained... Which may affect pulse oximetry accuracy? - Cardiac arrest By what signs or symptoms should the nurse recognize tension pneumothorax in a patient with worsening respiratory distress? - WRONG Progressive tachy... Decreased PaCO2 Absence of breath sounds... A patient with hemopytsis reports pleuritic chest pain. the nurse auscultates a pleural friction rub. What additional symptoms/signs should the nurse expect? - WRONG Metabolic acidosis Sinus tachy... Hypoxemia... A patient with a hip fracture fro a fall has a sudden decrease in SpO2, from 99% to 92%, and reports dyspnea. Which other signs or symptoms should the nurse anticipate? - Pleural friction rub and pleuritic chest pain A patient is admitted with acute hypoxemic respiratory failure. Which assessments confirm the diagnosis? - WRONG