Introduction Critical Care Nursing 7th Edition By Sole Klein
Introduction Critical Care Nursing 7th Edition By Sole Klein
$2.99
Chapter 15: Acute Respiratory Failure
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | elevate the head of the bed to 30 degrees. |
| b. | obtain an order for venous thromboembolism prophylaxis. |
| c. | provide adequate sedation. |
| d. | reposition the patient every 2 hours. |
ANS: D
Repositioning the patient will facilitate mobilization of secretions. Elevating the head of bed is an intervention to prevent infection. Venous thromboembolism prophylaxis is ordered to prevent complications of immobility. Sedation is an intervention to manage anxiety, and administration of sedatives increases the risk for retained secretions.
DIF: Cognitive Level: Analyze/Analysis REF: p. 396 Nursing Care Plan
OBJ: Formulate a plan of care for the patient with acute respiratory failure.
TOP: Nursing Process Step: Intervention
MSC: NCLEX Client Needs Category: Physiological Integrity
| a. | Decreasing PaO2 levels despite increased FiO2 administration |
| b. | Elevated alveolar surfactant levels |
| c. | Increased lung compliance with increased FiO2 administration |
| d. | Respiratory acidosis associated with hyperventilation |
ANS: A
Patients with ARDS often have hypoxemia refractory to treatment. Surfactant levels are often diminished in ARDS. Compliance decreases in ARDS. In early ARDS, hyperventilation may occur along with respiratory alkalosis.
DIF: Cognitive Level: Understand/Comprehension REF: pp. 298-299
OBJ: Describe the pathophysiology of ARF.
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
| a. | Hyperventilation and respiratory acidosis |
| b. | Hypoventilation and respiratory acidosis |
| c. | Hypoventilation and respiratory alkalosis |
| d. | Respiratory acidosis and normal oxygen levels |
ANS: B
Hypoventilation is common after overdose and results in impaired elimination of carbon dioxide and respiratory acidosis. The overdose depresses the respiratory drive, which results in hypoventilation, not hyperventilation. Hypoxemia is expected secondary to depressed respirations.
DIF: Cognitive Level: Analyze/Analysis REF: p. 390 | p. 392
OBJ: Describe the pathophysiology of ARF.
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
| a. | alveoli that are not perfused. |
| b. | blood that is shunted from the left side of the heart to the right and causes heart failure. |
| c. | blood that is shunted from the right side of the heart to the left without oxygenation. |
| d. | shunting of blood supply to only one lung. |
ANS: C
Shunting refers to blood that is not oxygenated in the lungs.
DIF: Cognitive Level: Understand/Comprehension REF: pp. 390-391
OBJ: Describe the pathophysiology of ARF.
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $40.00.$30.00Current price is: $30.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $35.00.$25.00Current price is: $25.00.