14. A nurse is planning care for a client who has severe acuterespiratory distress syndrome (ARDS) which actions should thenurse include?a. Aggressive fluid therapy and diureticsb. Administer antiviral and antibiotics for every cause of ARDSDownloaded by DEE FAV ([email protected])lOMoARcPSD|12284552c. Assess lung daily and suction hourly to maintain airway-lungs should be assessed hourlyd. Maintain intubation and mechanical ventilator support
Question
- A nurse is planning care for a client who has severe acuterespiratory distress syndrome (ARDS) which actions should thenurse include?a. Aggressive fluid therapy and diureticsb. Administer antiviral and antibiotics for every cause of ARDSDownloaded by DEE FAV ([email protected])lOMoARcPSD|12284552c. Assess lung daily and suction hourly to maintain airway-lungs should be assessed hourlyd. Maintain intubation and mechanical ventilator support
Solution
The nurse should include the following actions in the care plan for a client with severe acute respiratory distress syndrome (ARDS):
a. Aggressive fluid therapy and diuretics: This is not typically recommended for ARDS. Overhydration can worsen lung function in these patients. Fluid management should be carefully balanced.
b. Administer antiviral and antibiotics for every cause of ARDS: This is not accurate. The cause of ARDS could be non-infectious, and unnecessary use of antibiotics can lead to antibiotic resistance. Antibiotics and antivirals should be used if a specific infection is identified.
c. Assess lung daily and suction hourly to maintain airway: Frequent assessment of lung function is crucial in ARDS. However, suctioning should be done as needed, not necessarily hourly, to prevent trauma and infection.
d. Maintain intubation and mechanical ventilator support: This is typically necessary for severe ARDS. Mechanical ventilation can support breathing until the patient's lung function improves.
Therefore, the most accurate actions to include in the care plan would be frequent lung assessments, suctioning as needed, and maintaining intubation and mechanical ventilator support. Antibiotics or antivirals should be administered if a specific infection is identified. Fluid management should be carefully balanced.
Similar Questions
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
The nurse is caring for the client diagnosed with ARDS who is on a ventilator. Which interventions should the nurse implement? Select all that apply *1 pointAssess the client’s level of consciousness.Monitor the client’s urine output.Perform passive range-of-motion (ROM) exercises.Maintain intravenous fluids as ordered.Place the client with the head of bed (HOB) flat.
70) The nurse is caring for a client who suffered a third-degree burn to his hands after ahouse fire. He presented with an airway injury secondary to smoke inhalation andDownloaded by DEE FAV ([email protected])lOMoARcPSD|12284552has been intubated. The client is currently on the ventilator with 100% FIO2. Basedon this information, which of the following would be a sign or symptom of acuterespiratory distress syndrome (ARDS)?(a) Respiratory rate 14(b) ABG results show PaO2 50(c) Fatigue and weakness(d) Urine output 580 mL last shift
72) A nurse is reviewing the health records of clients. Which client is at least risk fordeveloping acute respiratory distress syndrome (ARDS)?(a) A client who experienced a near-drowning incident in freshwater(b) A client following coronary artery bypass graft surgery(c) A client who has a hemoglobin of 10.1 mg/dL post 1-unit PRBC(d) A client who is experiencing acute pancreatitis and vomiting
75) A nurse is reviewing the health records of clients. Which client is at greatest risk fordeveloping Acute Respiratory Distress Syndrome (ARDS) and Multiple OrganDysfunction Syndrome (MODS)?(a) A client who experienced neurogenic shock(b) A client following anaphylactic shock(c) A client who is experiencing septic shock(d) A client who is experiencing obstructive shock
Upgrade your grade with Knowee
Get personalized homework help. Review tough concepts in more detail, or go deeper into your topic by exploring other relevant questions.