A patient being mechanically ventilated develops hypotension after the respiratory therapist implements the most recent physician orders. The nurse suspects that which ventilator mode might be the cause?
1. PEEP
2. SIMV mode
3. assist-control mode
4. pressure-control mode
Correct Answer: 1
When PEEP is applied, intrathoracic pressure increases further; this can significantly decrease venous return, ventricular filling, stroke volume, and cardiac output. Manifestations of decreased cardiac output include hypotension. Increasing PEEP levels can cause declining blood pressure. Hypotension is not commonly caused by the adjustment of other modes on the ventilator.
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The provider orders Zostavax for a 60-year-old patient. The patient reports having had chicken pox as a child. Which action will the nurse take?
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The nurse needs to assess a client's respiratory status. Which client position would be the best for this assessment?
1. Prone 2. Semi-Fowler's 3. Side-lying 4. Supine