Which of the following are goals for a patient in acute respiratory failure (ARF)? Select all that apply.

Patient should be able to independently maintain an airway

Patient should be able to walk around the nurse's station 5 times every hour

Patient should be able to effectively cough and clear secretions on own

Patient should be fever free for 24 hours

Answer and Explanation

Correct Answer : A,C

A. Patient should be able to independently maintain an airway: Maintaining a patent airway is a primary goal in acute respiratory failure. This ensures adequate oxygenation and ventilation, reducing the risk of hypoxemia and hypercapnia.

B. Patient should be able to walk around the nurse's station 5 times every hour: Ambulation may be part of general recovery, but it is not a specific goal for managing acute respiratory failure. Focus should remain on airway, oxygenation, and ventilation.

C. Patient should be able to effectively cough and clear secretions on own: Effective secretion clearance prevents airway obstruction and infection, supporting oxygenation and reducing the risk of further respiratory compromise.

D. Patient should be fever free for 24 hours: While controlling infection may be important, being fever-free is not a direct goal of managing acute respiratory failure. The primary focus is on airway and gas exchange.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Synchronized Intermittent Mandatory Ventilation (SIMV): SIMV delivers a preset number of mandatory breaths with a fixed tidal volume but allows the patient to breathe spontaneously between ventilator-delivered breaths. However, those spontaneous breaths are not assisted by the ventilator.

B. Pressure Support Ventilation (PSV): PSV is used for spontaneous breathing where each patient-initiated breath is supported by a preset inspiratory pressure. It does not deliver mandatory breaths or a fixed tidal volume.

C. Assist-Control (AC) Ventilation: AC mode delivers a preset tidal volume at a preset rate but also assists with every patient-initiated breath by delivering the same preset tidal volume. This ensures consistent ventilation while allowing the patient to initiate breaths, reducing the work of breathing in acute respiratory failure.

D. Continuous Positive Airway Pressure (CPAP): CPAP provides constant pressure throughout the respiratory cycle to keep airways open but does not deliver preset breaths or tidal volumes. It is primarily used for patients who can breathe spontaneously but need support to maintain oxygenation.

A. Increase NIPPV settings B. Switch to high-flow nasal cannula C. Prepare for intubation and mechanical ventilation D. Administer high-dose corticosteroids

Correct Answer is C

Explanation

A. Increase NIPPV settings: While adjusting NIPPV settings may temporarily improve ventilation, persistent hypoxemia and hypercapnia despite optimal non-invasive support indicate that NIPPV is no longer sufficient to maintain adequate gas exchange.

B. Switch to high-flow nasal cannula: High-flow oxygen can improve oxygenation but does not provide ventilatory support for hypercapnia. Since the patient already has elevated PaCO2 and worsening acidosis, high-flow nasal cannula is unlikely to meet his ventilatory needs.

C. Prepare for intubation and mechanical ventilation: The patient demonstrates signs of worsening respiratory failure with hypoxemia, hypercapnia, and acidemia despite NIPPV. Intubation with mechanical ventilation is the appropriate next step to ensure adequate oxygenation and CO2 clearance while stabilizing the patient.

D. Administer high-dose corticosteroids: Corticosteroids may be indicated for inflammation management in COVID-19 or COPD exacerbations, but they do not address acute ventilatory failure. Immediate airway support takes priority over pharmacologic therapy in this situation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which of the following are goals for a patient in acute respiratory failure (ARF)? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which ventilator mode delivers a preset tidal volume at a preset respiratory rate while allowing the patient to trigger additional breaths?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

During a rapid sequence intubation, you expect the healthcare provider to order which of the following classes of medications?

Your patient has high CO2 levels noted on their blood work. Which of the following could contribute to this finding?

A nurse is teaching a patient about home oxygen therapy. Which statement by the patient indicates a need for further education?

You come into your patient's room to give her some medications. On initial assessment, you notice she is sitting at the side of the bed, leaning forward with her arms propped up on the bedside table. What are you most concerned about after seeing this?

What is a possible complication of using assist control ventilation mode on a mechanical ventilator?

A patient with a chest tube has continuous bubbling in the water seal chamber. What does this indicate?

A patient with an oral ET tube size BF complains of difficulty breathing. Which action should the nurse take first?