A client with acute respiratory distress syndrome (ARDS) is being ...

[APUS57]

A client with acute respiratory distress syndrome (ARDS) is being weaned from ventilatory support. Which nursing actions are appropriate for this client?
 
  Select all that apply.
  A) Increase percentage of oxygen being provided through the ventilator.
  B) Place in the Fowler position.
  C) Provide morning care during the weaning procedures.
  D) Begin weaning procedures in the morning.
  E) Medicate with morphine for pain as needed.

Question 2

The nurse is providing care to a client with an infected leg wound. The client is exhibiting symptoms of a systemic infection and is receiving intravenous antibiotics. The client states to the nurse, I am having trouble breathing.
 
  Based on this data, which does the nurse suspect the client is experiencing?
  A) Allergic response from antibiotic therapy
  B) Deep vein thrombosis
  C) Acute respiratory distress syndrome
  D) Anemia

[shewald78]

Answer to Question 1

Answer: B, D

Weaning a client from ventilatory support should begin in the morning when the client is well-rested. The client should be in the Fowler or high-Fowler position, as this facilitates lung expansion and reduces the work of breathing. Activities and care should be limited during the weaning process to reduce the demand for oxygen. The client should not be given any medication known to suppress respirations, as this would interfere with the weaning process. Medicating for pain would be appropriate when the client is back on the ventilator after concluding the weaning procedures. The percentage of oxygen is typically reduced during the weaning process.

Answer to Question 2

Answer: C

Sepsis is the most common cause of acute respiratory distress syndrome (ARDS). The client has a systemic infection, which is sepsis, and is complaining that it is getting hard to breathe. The nurse should suspect the client is developing acute respiratory distress. Deep vein thrombosis, anemia, or allergic response from antibiotic therapy may or may not be associated with a systemic infection from an infected leg wound and are not associated with the development of ARDS.

[APUS57]

Gracias!

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