Lewis Chapter 67: Acute Respiratory Failure and ARDS NCLEX Exam Questions and Answers
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Course
Lewis Medical-Surgical Nursing
Institution
Lewis Medical-Surgical Nursing
Lewis Chapter 67: Acute Respiratory
Failure and ARDS NCLEX Exam
Questions and Answers
The nurse is caring for a 27-yr-old man with multiple fractured ribs from a motor vehicle crash. Which
clinical manifestation, if experienced by the patient, is an early indication that the patient is developi...
Administration of lorazepam (Ativan) 1 mg may be harmful to this patient's oxygenation status. Further
assessment would be needed to determine safety.)
The nurse is caring for a 37-yr-old female patient with multiple musculoskeletal injuries who has
developed acute respiratory distress syndrome (ARDS). Which intervention should the nurse initiate to
prevent stress ulcers?
A Observe stools for frank bleeding and occult blood.
B Maintain head of the bed elevation at 30 to 45 degrees.
C Begin enteral feedings as soon as bowel sounds are present.
D Administer prescribed lorazepam (Ativan) to reduce anxiety. - Ans:✔✔-C Begin enteral feedings as
soon as bowel sounds are present.
(Stress ulcers prevention includes early initiation of enteral nutrition to protect the gastrointestinal (GI)
tract from mucosal damage. Antiulcer agents such as histamine (H2)-receptor antagonists, proton pump
inhibitors, and mucosal protecting agents are also indicated to prevent stress ulcers. Monitoring for GI
bleeding does not prevent stress ulcers. Ventilator-associated pneumonia related to aspiration is
prevented by elevation of the head of bed to 30 to 45 degrees Stress ulcers are not caused by anxiety.
Stress ulcers are related to GI ischemia from hypotension, shock, and acidosis.)
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