The nurse is caring for a client in the ICU who had a tracheostomy placed 14 days ago. The client has a forceful cough and the tracheostomy comes out. What should the nurse do immediately?

Which CXR would you expect with a client who has ARDS?

The nurse is providing care to a client who is being treated for aspiration pneumonia. Which finding below is the HALLMARK sign for the client who is developing ARDS?

Which statement correctly explains ARDS?

The nurse is caring for a client who is on mechanical ventilation with high levels of PEEP for ARDS. Which finding would indicate the patient is developing a complication related to their treatment?

Which treatments would be appropriate for a client who is being treated for ARDS?

Vent Settings: PRVC TV 500 FiO2 60% RR 24 PEEP 10

ABG: pH 7.48 PaCO2 32 HCO3 24 PaO2 180

Which ventilator changes would be appropriate?

Vent Settings: PRVC TV 400 FiO2 60% RR 18 PEEP 14

ABG: pH 7.38 PaCO2 12 HCO3 15 PaO2 80

Which ventilator changes would be appropriate?

A high pressure alarm is sounding on the ventilator. The nurse goes to assist the client and the vital signs are: HR 113, BP 174/98 (123), SpO2 78% PIP 55 RASS score +1. Which intervention would be most appropriate?

A client is brought into the ED with respiratory distress. ABG results pH 7.44, HCO3 22, pCO2 28, PaO2 54.

Which type of respitory failure is this client experiencing and what is the treatment?

Which would be a cause of hypercapnic respiratory distress?

A client presents to the ED with a severe asthma exacerbation. Which treatment would be priority?