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A patient undergoing intensive infusion therapy experiences increased tachypnea and decreased tidal volume after 600 mL of infusion. Auscultation reveals weakened respiration on the right, and percussion detects a dull sound. Which intervention is MOST critical at this moment?
A patient undergoing intensive infusion therapy experiences increased tachypnea and decreased tidal volume after 600 mL of infusion. Auscultation reveals weakened respiration on the right, and percussion detects a dull sound. Which intervention is MOST critical at this moment?
- Immediately discontinue the infusion and assess for pulmonary edema. (correct)
- Administer a bronchodilator.
- Administer a diuretic.
- Increase the rate of infusion.
Following subclavian vein catheterization and infusion, a patient develops acute respiratory distress. Examination reveals increased tachypnea and reduced tidal volume. What physiological process BEST explains these changes?
Following subclavian vein catheterization and infusion, a patient develops acute respiratory distress. Examination reveals increased tachypnea and reduced tidal volume. What physiological process BEST explains these changes?
- Increased intracranial pressure affecting respiratory drive.
- Bronchospasm leading to airway obstruction.
- Myocardial infarction reducing cardiac output.
- Fluid accumulation in the alveoli impairing gas exchange. (correct)
In a patient with suspected pulmonary edema following fluid infusion, which physical examination finding would provide the STRONGEST supporting evidence?
In a patient with suspected pulmonary edema following fluid infusion, which physical examination finding would provide the STRONGEST supporting evidence?
- Bilateral wheezing during expiration.
- Dullness to percussion and crackles on auscultation. (correct)
- Increased vocal fremitus on chest palpation.
- Hyperresonance to percussion over the lung fields.
A patient undergoing intravenous fluid resuscitation suddenly develops tachypnea and decreased tidal volume followed by auscultation detecting weakened respiration. What IMMEDIATE intervention should be taken?
A patient undergoing intravenous fluid resuscitation suddenly develops tachypnea and decreased tidal volume followed by auscultation detecting weakened respiration. What IMMEDIATE intervention should be taken?
Which clinical sign would be MOST indicative of pulmonary edema as opposed to pulmonary embolism?
Which clinical sign would be MOST indicative of pulmonary edema as opposed to pulmonary embolism?
A patient with acute respiratory failure is undergoing subclavian vein catheterization. After the infusion, the patient develops pulmonary edema. Which preexisting condition would MOST increase the risk of this outcome?
A patient with acute respiratory failure is undergoing subclavian vein catheterization. After the infusion, the patient develops pulmonary edema. Which preexisting condition would MOST increase the risk of this outcome?
After administering intravenous fluids, a patient's respiratory rate increases, and tidal volume decreases. Which calculation would be MOST useful in assessing the severity of the patient's respiratory compromise?
After administering intravenous fluids, a patient's respiratory rate increases, and tidal volume decreases. Which calculation would be MOST useful in assessing the severity of the patient's respiratory compromise?
A patient undergoing fluid resuscitation shows signs of increasing respiratory distress. Beyond oxygen saturation, which additional monitoring parameter would provide the MOST immediate insight into worsening pulmonary edema?
A patient undergoing fluid resuscitation shows signs of increasing respiratory distress. Beyond oxygen saturation, which additional monitoring parameter would provide the MOST immediate insight into worsening pulmonary edema?
In managing a patient who develops pulmonary edema during fluid infusion, what is the PRIMARY goal of administering a diuretic?
In managing a patient who develops pulmonary edema during fluid infusion, what is the PRIMARY goal of administering a diuretic?
A patient is suspected of having fluid accumulation in their lungs during infusion therapy. Which diagnostic method would directly confirm the presence of fluid?
A patient is suspected of having fluid accumulation in their lungs during infusion therapy. Which diagnostic method would directly confirm the presence of fluid?
What is the MOST important step to take when a patient shows symptoms of pulmonary edema during fluid administration?
What is the MOST important step to take when a patient shows symptoms of pulmonary edema during fluid administration?
A patient with acute respiratory distress is being assessed for fluid overload. Auscultation reveals crackles and percussion reveals dullness. What is the underlying physiological change related to these findings?
A patient with acute respiratory distress is being assessed for fluid overload. Auscultation reveals crackles and percussion reveals dullness. What is the underlying physiological change related to these findings?
If a patient develops acute respiratory distress during fluid infusion, what laboratory test must be ordered to evaluate gas exchange?
If a patient develops acute respiratory distress during fluid infusion, what laboratory test must be ordered to evaluate gas exchange?
After fluid resuscitation, a patient experiences increased respiratory rate, reduced tidal volume, weakened respiration, and a dull sound. Which immediate intervention should be implemented?
After fluid resuscitation, a patient experiences increased respiratory rate, reduced tidal volume, weakened respiration, and a dull sound. Which immediate intervention should be implemented?
Which of the following actions should be avoided when a patient is suspected of having pulmonary edema during infusion therapy?
Which of the following actions should be avoided when a patient is suspected of having pulmonary edema during infusion therapy?
During fluid administration, a patient demonstrates signs of respiratory distress. Besides administering oxygen, what intervention should be prioritized?
During fluid administration, a patient demonstrates signs of respiratory distress. Besides administering oxygen, what intervention should be prioritized?
A patient receives intravenous fluids and suddenly develops acute respiratory distress. Auscultation reveals crackles, and percussion yields a dull sound. What condition is MOST likely occurring?
A patient receives intravenous fluids and suddenly develops acute respiratory distress. Auscultation reveals crackles, and percussion yields a dull sound. What condition is MOST likely occurring?
After fluid administration, a patient has tachypnea, decreased tidal volume, and auscultation reveals weakened respiration on the right side of the lungs. What is the IMMEDIATE concern?
After fluid administration, a patient has tachypnea, decreased tidal volume, and auscultation reveals weakened respiration on the right side of the lungs. What is the IMMEDIATE concern?
During infusion therapy, a patient experiences acute respiratory distress with tachypnea, decreased tidal volume, and auscultation detecting weakened respiration. Which treatment strategy is MOST appropriate at this time?
During infusion therapy, a patient experiences acute respiratory distress with tachypnea, decreased tidal volume, and auscultation detecting weakened respiration. Which treatment strategy is MOST appropriate at this time?
Flashcards
Practice Mode Quiz
Practice Mode Quiz
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Exam Mode Quiz
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Pulmonary Edema
Pulmonary Edema
A condition characterized by the accumulation of fluid in the lungs, interfering with normal oxygen exchange.
Tachypnea
Tachypnea
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