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Exam (elaborations)
Lewis Chapter 67: Acute Respiratory Failure and ARDS NCLEX Test Questions and Answers Graded A+
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---15October 20252025/2026A+
- The nurse is caring for a 27-yr-old man with 
multiple fractured ribs from a motor vehicle 
crash. Which clinical manifestation, if 
experienced by the patient, is an early indication 
that the patient is developing respiratory failure? 
A Tachycardia and pursed lip breathing 
B Kussmaul respirations and hypotension 
C Frequent position changes and agitation 
D Cyanosis and increased capillary refill time - 
ANSWER -C Frequent position changes 
and agitation 
(A change in mental status is an ear...
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MERCYTRISHIA
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Exam (elaborations)
Lewis Chapter 67
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---14March 20242023/2024A+
- Lewis Chapter 67 
 
 
 
To evaluate the effectiveness of ordered interventions for a patient with ventilatory failure, which diagnostic 
test will be 
most 
 useful to the nurse? 
a. 
Chest x-ray 
b. 
Oxygen saturation 
c. 
Arterial blood gas analysis 
d. 
Central venous pressure monitoring - ANS ANS: C 
Arterial blood gas (ABG) analysis is most useful in this setting because ventilatory failure causes problems 
with CO2 
retention, and ABGs provide information about the PaCO2 and pH. The other...
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DocLaura