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The Nurse Is Caring for a Client with Respiratory Failure

Question 5

Multiple Choice
The nurse is caring for a client with respiratory failure who has a respiratory rate of 8/min and a SpO<sub>2</sub> of 89%. The client is increasingly lethargic. Which of the following actions should the nurse anticipate?

The nurse is caring for a client with respiratory failure who has a respiratory rate of 8/min and a SpO2 of 89%. The client is increasingly lethargic. Which of the following actions should the nurse anticipate?


A) Administration of 100% oxygen by non-rebreather mask
B) Endotracheal intubation and positive pressure ventilation
C) Insertion of a mini-tracheostomy with frequent suctioning
D) Initiation of bilevel positive pressure ventilation (BiPAP)

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