Can you help me with how to respond to this statement with supporting details?

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Question Answered step-by-step Can you help me with how to respond to this statement with supporting details?With a patient that has acute respiratory distress syndrom(ARDS) you might observe severe shortness of breath, low blood pressure, confusion, extreme fatigue, labored and extremely rapid breathing, fever, cough with phlegm, blue lips, skin, and fingernails, crackling sound in the lungs. Complications Mr. Nguyen can develop from being mechanically ventilated include ventilator-associated pneumonia, sudden desaturation, tachypnea, tachycardia, hypotension, rise in peak airway pressures, reduced breath sounds on one side, or tracheal deviation, pneumothorax, sepsis, pulmonary embolism, barotrauma, and pulmonary edema.  Priority nursing interventions to prevent complications associated with ventilatory support include provide excellent oral hygiene care, maintain a patent airway, assess oxygen saturation, bilateral breath sounds for adequate air movement, and respiratory rate per policy, check vital signs per policy, particularly blood pressure after a ventilator setting is changed, coordinate care for subglottic suctioning, maintain optimal positioning, encourage mobility through range of motion exercises and ensure adequate staffing. If the VAP interventions are not being implemented by the nurse, I would ask her reasons for not implementing the interventions and see if she had an alternative that would be just as beneficial to the patient.  I would want to know what the protocol is for VAP interventions. I would remind her of the benefits to adhere to the interventions. If the nurse refuse to implement the VAP interventions the charge nurse should be notified because the care provided should be in the best interest of the patient.  https://www.mayoclinic.org/diseases-conditions/ards/symptoms-causes/syc-20355576 https://www.americansentinel.edu/blog/2013/05/27/preventing-ventilator-associated-pneumonia-vap/  Health Science Science Nursing NUR 278 Share QuestionEmailCopy link Comments (0)

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