The nurse is caring for a patient with acute respiratory distress syndrome who is hypoxemic despite mechanical ventilation.The provider prescribes a nontraditional ventilator mode as part of treatment.Despite sedation and analgesia,the patient remains restless and appears to be in discomfort.The nurse informs the provider of this assessment and anticipates an order for

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Paralysis and additional sedation may be needed if the patient requires nontraditional ventilation.Guided imagery is an excellent nonpharmacological approach to manage anxiety; however,the nontraditional mode of ventilation usually requires that the patient receive neuromuscular blockade.Prone positioning is a treatment for refractory hypoxemia but not indicated to treat this patient,who is restless and appears to be in discomfort.Lateral rotation is not a mode of ventilation; it is used as part of a progressive mobility program for critically ill patients.

The Nurse Is Caring for a Patient with Acute Respiratory