A nurse is planning care for a client who has severe acute respiratory distresssyndrome (ARDS). Which actions should the nurse include? (Select all that apply).(a) Conservative fluid therapy and diuretics(b) Administer antiviral and antibiotics for every cause of ARDS(c) Assess lungs hourly and suction to maintain airway(d) Maintain intubation and mechanical ventilator supportDownloaded by DEE FAV ([email protected])lOMoARcPSD|12284552(e) Consider dietician and enteral nutrition and/or parenteral nutrition
Question
A nurse is planning care for a client who has severe acute respiratory distresssyndrome (ARDS). Which actions should the nurse include? (Select all that apply).(a) Conservative fluid therapy and diuretics(b) Administer antiviral and antibiotics for every cause of ARDS(c) Assess lungs hourly and suction to maintain airway(d) Maintain intubation and mechanical ventilator supportDownloaded by DEE FAV ([email protected])lOMoARcPSD|12284552(e) Consider dietician and enteral nutrition and/or parenteral nutrition
Solution
The nurse should include the following actions in the care plan for a client who has severe acute respiratory distress syndrome (ARDS):
(a) Conservative fluid therapy and diuretics: This is important to prevent fluid overload which can worsen the condition of the lungs in ARDS.
(c) Assess lungs hourly and suction to maintain airway: Regular assessment of the lungs can help detect any changes in the client's condition early. Suctioning is necessary to clear the airway and improve oxygenation.
(d) Maintain intubation and mechanical ventilator support: ARDS patients often require mechanical ventilation to support their breathing. The nurse should ensure that the ventilator settings are appropriate and monitor the patient for any complications related to intubation.
(e) Consider dietician and enteral nutrition and/or parenteral nutrition: Nutrition support is crucial in ARDS to prevent malnutrition and support the healing process. The nurse should collaborate with a dietician to ensure the patient is receiving adequate nutrition, either through enteral (tube feeding) or parenteral (intravenous) nutrition.
(b) Administer antiviral and antibiotics for every cause of ARDS: This is not necessarily correct. While some cases of ARDS are caused by infections that may require antiviral or antibiotic treatment, not all cases are. The treatment should be based on the underlying cause of the ARDS. Therefore, antibiotics and antivirals should not be administered for every cause of ARDS.
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