100% Normal text Calibri B IUA 11 GD 1 2 3 I 4 5 6 The high pressure alarm on the ventilator sounds, you enter the room, the dient is Agitated Respiratory rate 40 breaths/mi

Read the medical report, and answer the questions that follow:
January 6, 2020
A 55-year-old male client is admitted to the nursing unit with complaints of abdominal pain that is sharp and burning. T
January 6, 2020

100% Normal text Calibri B IUA 11 GD 1 2 3 I 4 5 6 The high pressure alarm on the ventilator sounds, you enter the room, the dient is Agitated Respiratory rate 40 breaths/mi

100% Normal text Calibri B IUA 11 GD 1 2 3 I 4 5 6 The high pressure alarm on the ventilator sounds, you enter the room, the dient is Agitated Respiratory rate 40 breaths/min Oxygen saturation is 81% Blood pressure 98/44 mmHg Sinus tachycardia 142 beats/min What action will you implement first? Underline and provide rationale for the selection Auscultate breath sounds Increase the FIO2 setting to 100 % Check the ventilator settings and readouts Suction the ET tube after byperoxygenating the client Your assessment data No breath sound on right side with minimal expansion on inspiration ET tube position remains at 23-cm at the client’s teeth What is your suspected problem for the client? Underline and provide rationale for the selection Oxygenation r/t mechanical ventilation AEB inadvertent extubation Oxygenation r/t mechanical ventilation AEB tension pneumothorax Oxygenation r/t mechanical ventilation AEB ET tube displacement Oxygenation r/t mechanical ventilation AEB aspiration pneumonia A chest tube is inserted by the intensivist at the right anterior chest, second intercostal space. Which assessment finding is most important to report to the physician? Underline and provide rationale for the selection Large air bubbles in the water seal chanber during expiration Continuous bubbling in the suction control chamber with breathing 100 mLs of blood drains into collection chamber immediately after tube insertion Client complains of pain with every ventilator-assisted inspiration. You check the laboratory test results and notify the physican about which information that may indicate a need for an immediate collaborative intervention? Underline and provide rationale for the selection .Blood glucose level of 140 mg/dL . Potassium level of 5.1 mEq.L Sodium level of 134 mEq/L Blood urea nitrogen level of 52 mg/dL

 

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