A Patient Has Been Ordered to Receive IPPB in the Intensive

question 32

Multiple Choice

A patient has been ordered to receive IPPB in the intensive care unit.He has an arterial line in place which indicates a decreased blood pressure during the therapy.How can this be corrected?

• A) Discontinue therapy immediately. Stay with the patient and closely monitor the respiratory rate and depth, pulse, and blood pressure. Observe the patient for signs of cyanosis. If respiratory arrest occurs, initiate cardiopulmonary resuscitation (CPR) and get help.
• B) Discontinue the therapy. Try to administer therapy with the patient in semi-Fowler's or full Fowler's position, if possible, to help reduce the effects of IPPB on intracranial pressure
• C) Terminate the IPPB therapy. Quickly auscultate the chest. Monitor the respiratory rate and depth and pulse frequently.
• D) Discontinue the therapy and monitor the patient closely. Continue monitoring the patient. If the blood pressure remains low and the cardiovascular system fails to recover after discontinuance of therapy, contact the physician immediately.

---

Definitions:

Live Births

The birth of a child who shows any sign of life, such as breathing, heartbeat, or movement, regardless of gestational age.

Down Syndrome

A genetic disorder caused by the presence of all or part of a third copy of chromosome 21, characterized by developmental delays and physical features such as a flat facial profile.

Skin Pigmentation

The coloring of the skin caused by the presence of melanin, which can vary greatly among individuals and populations.

Phenotype

The observable physical or biochemical characteristics of an organism, as determined by both genetic makeup and environmental influences.