We've found 8 Acute Respiratory Failure tests

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A patient was intubated for acute respiratory failure, and there is an endotracheal tube in place. Which nursing interventions are appropriate?
Ensure that the oxygen is warmed and humidified. Suction the airway, then the mouth, and give oral care. Position the tubing so it does not pull on the airway. Apply suction only when withdrawing the suction catheter.
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Which medication helps reduce the risk of stress ulcers in a patient with acute respiratory failure? 1 Propofol 2 Carafate 3 Fentanyl 4 Vancomycin
2- Correct A patient with acute respiratory illness has a high risk of bleeding from stress ulcers due to decreased mucus production. Therefore, administration of mucosal protective agents like carafate will be beneficial. Propofol is a sedative and analgesic that helps to alleviate pain. It does not help treat stress ulcers. Fentanyl is an opioid used to decrease anxiety but has no effect on the gastrointestinal tract. Vancomycin is an antibiotic used to treat bacterial infections. Test-Taking Tip: Identify option components as correct or incorrect. This may help you identify a wrong answer. Text Reference – p. 1669
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How many codes are assigned for the diagnosis of acute respiratory failure due to pneumococcal sepsis
Which of the following is NOT a pulmonary complication of CF? A. Massive hemoptysis B. Atelectasis and acute respiratory failure C. Allergic bronchopulmonary aspergillosis D. Pneumothorax E. Chylothorax
E. Chylothorax ABPA = infection of aspergillosis leading to hypersensitivity reaction. Wheezing and coughing, get serum IgE will be markedly elevated. Chylothroax (pleural effusion of lymphatic fluid – chyle) not seen in CF patient
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acute renal failure and acute respiratory failure due to sepsis
A41.9 (sepsis general), R65.20 (sepsis severe), N17.9 (failure renal acute), J96.00 (failure, resp)
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What should be the overall nursing goal for a patient with acute respiratory failure? Select all that apply. 1 No dyspnea 2 Normal bowel sounds 3 Maintenance of the airway 4 Normal blood urea nitrogen and creatinine 5 Effective cough and ability to clear secretions
1, 3, 5- Correct The overall goals for the patient with acute respiratory failure are absence of dyspnea, maintenance of the airway, effective cough and ability to clear secretions, normal ABG values and normal breath sounds. Absence of dyspnea indicates normal breathing and adequate oxygenation. Maintenance of the airway is important for normal oxygenation and tissue perfusion. Effective coughing and the ability to clear secretions help to keep the airway patent. Normal bowel sounds are not a goal for respiratory failure, because they are related to the function of the gastrointestinal tract. Blood urea nitrogen and serum creatinine are markers of renal function, not respiratory function. Text Reference – p. 1661
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The nurse is caring for a patient with acute respiratory failure and identifies “Risk for Ineffective Airway Clearance” as a nursing diagnosis. A nursing intervention relevant to this diagnosis is: a. Elevate head of bed to 30 degrees. b. Obtain order for venous thromboembolism prophylaxis. c. Provide adequate sedation. d. Reposition patient every 2 hours.
d. Reposition patient every 2 hours.
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8. To evaluate both oxygenation and ventilation in a patient with acute respiratory failure, the nurse uses the findings revealed with a. arterial blood gas (ABG) analysis. b. hemodynamic monitoring. c. chest x-rays. d. pulse oximetry.
A Rationale: ABG analysis is useful because it provides information about both oxygenation and ventilation and assists with determining possible etiologies and appropriate treatment. The other tests may also provide useful information about patient status but will not indicate whether the patient has hypoxemia, hypercapnia, or both. Cognitive Level: Comprehension Text Reference: p. 1805 Nursing Process: Assessment NCLEX: Physiological Integrity
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a patient is admitted from a nursing home with cough and fever. The pat. has ahistory of dysphagia and hemiparesis due to previous CVA. Sputum cultures reveal Pseudomonas. Patient went into acute respiratory failure after admission. discharge diagnosis: Pseudomonas pneumonia. a. 780.60, 482.1, 48.20, 438.82 b. 482.1, 518.81, 438.20, 438.82 c. 482.1, 518.81, 438.20, 787.20, 438.82
c. 482.1 (pneumonia due to pseudomonas), 518.81 (acute respiratory failure), 438.20 (late effect hemiplegia affecting unspecified side), 787.20 (dysphagia unspecified ..type of dysphagia), 438.82 (late effect of cerebrovasculara disease)
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12. A patient in acute respiratory failure as a complication of COPD has a PaCO2 of 65 mm Hg, rhonchi audible in the right lung, and marked fatigue with a weak cough. The nurse will plan to a. allow the patient to rest to help conserve energy. b. arrange for a humidifier to be placed in the patient’s room. c. position the patient on the right side with the head of the bed elevated. d. assist the patient with augmented coughing to remove respiratory secretions.
D Rationale: The patient’s assessment indicates that assisted coughing is needed to help remove secretions, which will improve PaCO2 and will also help to correct fatigue. If the patient is allowed to rest, the PaCO2 will increase. Humidification may help loosen secretions, but the weak cough effort will prevent the secretions from being cleared. The patient should be positioned with the good lung down to improve gas exchange. Cognitive Level: Application Text Reference: p. 1809 Nursing Process: Planning NCLEX: Physiological Integrity
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