The Nurse Is Caring for a Client with Respiratory Failure

question 13

Multiple Choice

The nurse is caring for a client with respiratory failure who has a respiratory rate of 8/min and a SpO₂ of 89%. The client is increasingly lethargic. Which of the following actions should the nurse anticipate?

• A)Administration of 100% oxygen by non-rebreather mask
• B)Endotracheal intubation and positive pressure ventilation
• C)Insertion of a mini-tracheostomy with frequent suctioning
• D)Initiation of bilevel positive pressure ventilation (BiPAP)

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Definitions:

Transection

Transection is the act of cutting or dividing something transversely, often used in medical or biological contexts to refer to the cutting of tissue or anatomical structures.

Quadriplegic

A condition characterized by paralysis affecting all four limbs, typically resulting from injury to the spine at a high level.

Nociceptive Pain

Pain that arises from physical damage or inflammation to the body's tissues, often perceived as sharp, aching, or throbbing.

Aching

A continuous or prolonged dull pain in a part of the body.