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The high pressure alarm is sounding in the patient’s room. Which of the following is the most likely cause. Select all that apply

Which of the following findings would the nurse assess in a patient diagnosed with Left Sided Heart Failure and  Pulmonary Edema? Select all that apply.

The nurse is caring for a male client with a chest tube. If the chest drainage system is accidentally disconnected, what should the nurse plan to do?

A client is brought into the emergency department after aspirating on pureed foods at the​ long-term care facility. The nurse knows that which physiologic change can trigger acute respiratory distress​ syndrome?

When planning care for a patient on a mechanical ventilator, the nurse understands that the application of positive end-expiratory pressure (PEEP) to the ventilator settings has which therapeutic effect?

The nurse on the medical-surgical unit is caring for a 69-year-old male client with pain and swelling of the right lower extremity. Nurses’ Notes   Day 1. 0930 Admission note: Client admitted from the Emergency Department via stretcher and transferred to bed. Client is alert and oriented. Saline lock IV in the R antecubital vein patent. Right lower extremity noted to have 2+ pedal edema, pain 8/10 in right calf. Warmth noted to right calf. Positive Homan’s sign to R lower extremity noted. Client has positive motion and sensation to right lower extremity. Right pedal pulse weak, palpable. R lower extremity elevated on 2 pillows. VS: BP 145/82, HR 96, RR 16, Temp 36.7C (98F). Client ordered to be on complete bedrest. Client made aware. 1010: Radiology called results of right leg ultrasound: Positive for deep vein thrombosis of the right posterior tibial vein. Provider made aware. New orders pending. 1030: Patient begins to experience SOB, anxiety, O2 Sat 83%, RR 38, HR 108, BP 149/88, patient seems to be apprehensive and anxious Which of the following actions should the nurse anticipate including in the patient’s plan of care? Select all that apply

A patient in acute respiratory failure is receiving ACV with a positive end-expiratory pressure (PEEP) of 10 cm H20. What sign alerts the nurse to undesirable effects of increased airway and thoracic pressure?

Nurse Oliver observes constant bubbling in the water-seal chamber of a closed chest drainage system. What should the nurse conclude? 

A female client with chest injury has suffered flail chest. A nurse assesses the client for which most distinctive sign of flail chest?

The RN is supervising a nursing student who will suction a patient on a mechanical ventilator. Which actions indicate that the student has a correct understanding of this procedure? Select all that apply.