The client with acute respiratory distress syndrome (ARDS) presents with severe hypoxemia, in spite of oxygen administration via face mask. The nurse would anticipate and prepare for which intervention?
A) Intermittent positive pressure breathing
B) Insertion of endotracheal tube
C) Increasing oxygen to 12 to 15 L flow
D) Insertion of chest tube
B
Feedback:
To maintain airway, an endotracheal tube or tracheostomy tube will be inserted for administration of mechanical ventilation. Mechanical ventilation uses positive end-expiratory pressure (PEEP), not IPPB. Because the lungs are not collapsed, a chest tube is not indicated for reinflation. Increasing the oxygen flow rate via mask does not maintain patency of the airway and can place the client at risk for ocular damage.
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