A client in acute respiratory failure has received respirato…

A client in acute respiratory failure has received respiratory support with a nonrebreather mask for several hours. The patient’s condition has worsened, and the nurse finds the following during the most recent assessment:   Vital Signs: BP 168/88, RR 30, P 133, O2 sat 75%. Course crackles in bilateral lung bases and diminished lung sounds in all other lobes. Accessory muscle use noted.   The ABG reveals the following:   pH 7.3 (7.35-7.45) PaCO2 54 (35-45 mmHg) HCO3 18 (22-26 mEq/L)   What is the next most appropriate intervention for the nurse to take?

At 1500, the nurse reports to the room of a client with a hi…

At 1500, the nurse reports to the room of a client with a history of asthma. The client reports increased shortness of breath. Using the client’s electronic medical record (see below), determine which action by the nurse is the most appropriate to take currently. Nurse Note: 1430: Albuterol nebulizer administered by respiratory therapy. 1500: Bilateral wheezes noted in all lung fields on expiration. Respirations labored and with use of accessory muscles evident. Patient is extremely anxious and cyanotic. Breaths at 24 breaths per minute.

________ populations are more likely to have to travel long…

________ populations are more likely to have to travel long distances to access healthcare services, particularly subspecialist services. This can be a significant burden in terms of travel time, cost, and time away from the workplace. In addition, the lack of reliable transportation is a barrier to care.