章节:The Client with Respiratory Health Problems

SC
正确指数:0% 正确的次数:0 错误的次数:4 5986---A client with acute respiratory distress syndrome (ARDS) is on a ventilator. The client’s peak inspiratory pressures and spontaneous respiratory rate are increasing, and the Po2 is not improving. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse calls the healthcare provider (HCP) with the recommendation for:

1. initiating IV sedation.
2. starting a high-protein diet.
3. providing pain medication.
4. increasing the ventilator rate.

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正确答案 :
1. initiating IV sedation.
解释 :
The client may be fighting the ventilator breaths. Sedation is indicated to improve compliance with the ventilator in an attempt to lower peak inspiratory pressures. The workload of breathing does indicate the need for increased protein calories; however, this will not correct the respiratory problems with high pressures and respiratory rate. There is no indication that the client is experiencing pain. Increasing the rate on the ventilator is not indicated with the client’s increased spontaneous rate.