Multiple Response Grouping Set 4: Respiratory (NCLEX)

The nurse in the intensive care unit is caring for a 66-year-old male client.

1000:Receives bilevel positive airway pressure (BiPAP) for an acute exacerbation of chronic obstructive pulmonary disease. Oxygen saturation is within the ordered target. The mask seal is intact, but the bridge of the nose is red and uncomfortable. Skin remains intact.

For each part of care below, click to specify the actions the nurse should take.

Category	Potential Findings
Mask-related discomfort	Tighten the straps.Inspect the skin under the mask.Check whether the straps are too tight.
Pressure settings	Consult respiratory therapy.Raise both pressure settings.Lower the inspiratory pressure.

Note: Each row must have at least 1 response option selected.