A 55-year-old patient is admitted to the ICU with severe pne…

A 55-year-old patient is admitted to the ICU with severe pneumonia and develops acute respiratory distress syndrome (ARDS). The nurse notes the following assessment findings and diagnostic results: Respiratory rate: 32 breaths per minute Oxygen saturation: 85% on a non-rebreather mask Arterial blood gas (ABG) results: pH: 7.28 PaCO₂: 60 mmHg PaO₂: 55 mmHg HCO₃: 24 mEq/L Chest X-ray: Bilateral infiltrates (ground-glass appearance) Breath sounds: Diminished bilaterally       The provider places the patient on mechanical ventilation with the following settings: Mode: Assist-Control (AC) Tidal volume: 500 mL FiO₂: 100% PEEP: 10 cm H₂O After one hour, the nurse reassesses the patient and notes persistent hypoxia (SpO₂ 87%) and worsening respiratory distress. Which of the following interventions should the nurse anticipate to optimize oxygenation in this patient? Select all that apply.

A nurse is caring for a patient with acute respiratory distr…

A nurse is caring for a patient with acute respiratory distress syndrome (ARDS) who is mechanically ventilated. The provider orders an increase in positive end-expiratory pressure (PEEP) from 8 cm H₂O to 12 cm H₂O to improve oxygenation. Which of the following complications should the nurse monitor for after increasing PEEP?

A 30-year-old patient with a history of severe asthma arrive…

A 30-year-old patient with a history of severe asthma arrives at the emergency department in respiratory distress despite using their prescribed rescue inhaler at home. The patient is dyspneic, unable to speak in full sentences, and has audible wheezing. After administering high-dose albuterol and IV corticosteroids, the nurse notes that the patient’s wheezing suddenly disappears, and breath sounds are now nearly absent. What is the priority nursing action?