A 52-year-old patient sustained a right-sided pneumothorax a…

A 52-year-old patient sustained a right-sided pneumothorax after blunt chest trauma. A chest tube connected to a water-seal drainage system was inserted. Thirty minutes later, the nurse observes that SpO₂ has increased from 84% to 95%, the respiratory rate has decreased from 34 to 20 breaths/min, and bilateral chest expansion has improved. Which interpretation is most appropriate?

A 72-year-old patient has a tracheostomy placed four days ag…

A 72-year-old patient has a tracheostomy placed four days ago. During assessment, the nurse notes that the tracheostomy tube appears to pulsate in synchronization with the heartbeat. A small amount of bright-red bleeding is present at the stoma. Which action is the priority?

A 64-year-old patient with COPD is admitted with increasing…

A 64-year-old patient with COPD is admitted with increasing fatigue and shallow respirations. The patient is drowsy but arousable. Arterial blood gas results are pH 7.26, PaCO₂ 68 mm Hg, HCO₃⁻ 29 mEq/L, and PaO₂ 82 mm Hg while receiving oxygen. Which interpretation is most appropriate?

A nurse is caring for a client with increased intracranial p…

A nurse is caring for a client with increased intracranial pressure who has been receiving IV mannitol for 6 hours. Which assessment findings should the nurse recognize as potential complications of mannitol therapy requiring follow-up? Select all that apply.

A 58-year-old patient with a tracheostomy is receiving humid…

A 58-year-old patient with a tracheostomy is receiving humidified oxygen. During the morning assessment, the nurse observes thick secretions, an ineffective cough, and increasing difficulty breathing. Which interventions should the nurse implement? Select all that apply.

A 70-year-old patient is receiving mechanical ventilation fo…

A 70-year-old patient is receiving mechanical ventilation for acute respiratory failure. The ventilator high-pressure alarm begins sounding. Peak inspiratory pressure increases from 24 to 39 cm H₂O. Which findings could explain the alarm? Select all that apply.