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The Nurse in the Intensive Care Unit (ICU)is Caring for a Client

Question 31

Multiple Choice

The nurse in the intensive care unit (ICU) is caring for a client diagnosed with acute respiratory distress syndrome (ARDS) .Vital signs prior to endotracheal intubation: HR 108 bpm,RR 32 bpm,BP 88/58 mmHg,and oxygen saturation 82%.The client is intubated and placed on mechanical ventilation with positive pressure ventilation.Which assessment finding indicates a further decrease of cardiac output secondary to positive pressure ventilation?


A) Blood pressure 90/60 mmHg
B) Urine output 25mL/hr
C) Heart rate 110 bpm
D) Oxygen saturation 90%

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