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The client is transferred to the ICU with severe respiratory distress due to emphysema. The nurse is aware that the client was being treated initially with O2 at a rate of 1.5L per minute because:

The nurse is aware that the atelectasis associated with acute respiratory distress syndrome (ARDS) and acute lung injury (ALI) may be managed or reversed with the use of:

The client has lost 3 kgs over the last several days. Their skin is dry, the heart rate and respirations are elevated, the blood pressure is low, and the client has orthostatic hypotension. The urine output is 15mL/hour and the hematocrit is 55%. The nurse is aware that these signs and symptoms are characteristic of: 

The nurse is caring for a client admitted with status asthmaticus who arrives to the emergency room with the following vital signs: Temp – 98.6’F, RR – 30, BP – 121/75, HR – 125 (sinus tachycardia), and SpO2 – 85% on 6L via nasal cannula. The client is utilizing accessory muscles and is anxious.  You are the nurse caring for the client immediately upon their arrival into the room.  Determine the order of interventions from highest priority (#1) to lowest priority (#4).  

Match the appropriate Richmond Agitation Sedation Scale (RASS) score to the associated description.** You will have unused descriptions **

The nurse is doing a physical assessment of the client admitted to the ER with complaints of shortness of breath. The nurse would document the presence of atelectasis and areas of consolidation if the following was auscultated:  

Select the five findings that require immediate follow-up. 

The nurse is caring for a 47-year-old female who presented to the emergency room (ER) with complaints of shortness of breath, tachycardia, and feeling anxious. One day prior to the client arriving in the ER, she had returned to the United States after a nine hour plane ride.  The client did not walk much during the flight and states “I slept most of the plane ride.”  The client denies any prior medical history. The medical team is evaluating the client for a pulmonary embolus (PE). In caring for this client, the nurse knows the following to be accurate: (Select all that apply)

The client has acute lung injury (ALI) and is ventilated with an FiO2 of 50%, 10cmH2O of PEEP, tidal volume of 750mL, and a rate of 16 breaths per minute. Coarse rhonchi are heard over the upper airways and the client has become agitated with an O2 saturation of 85%. Which priority action should the nurse take?

The nurse is aware that levalbuterol (Xopenex) may cause all the following side effects except: