The nurse is caring for a patient who is intubated and recei…

The nurse is caring for a patient who is intubated and receiving positive pressure ventilation to treat acute respiratory distress syndrome (ARDS). The following assessment data has been noted in the client’s chart.Comprehensive Metabolic Panel: LAB TEST PATIENT VALUE NORMAL VALUE Sodium 134 mEq/L 136-145 mEq/L Potassium 3.7 mEq/L 3.5-5.0 mEq/L Chloride 99 mEq/L 98-106 mEq/L Calcium, total 9.2 mg/dL 9.0-10.5 mg/dL Glucose 102 70-105 mg/dL Albumin 3.4 g/dL 3.5-5 g/dL Protein, total 6.1 g/dL 6-8 g/dL ALT 54 U/L 7-55U/L AST 42 8-48U/L Alk phosphatase 138 IU/L 44-147 IU/L Blood urea nitrogen (BUN) 21 mg/dL 10-20mg/dL Creatinine 1.3 mg/dL Males: 0.6-1.2mg/dLFemales: 0.5-1.1mg/dL   Arterial Blood Gas: LAB TEST PATIENT VALUE NORMAL VALUE pH 7.33 7.35-7.45 PaCO2 50 mmHg 35-45 mmHg HCO3 28 mEq/L 22-26 mEq/L PaO2 94 mmHg 80-100 mmHg Assessment Documentation: Neuro/ muscular: sedated- unable to assess orientation. Unable to assess sensation and movement. Cardiovascular: Sinus Tachycardia at rate of 106 beats per minute. Regular rhythm. S1, S2 heard on auscultation. No murmurs or extra heart sounds. Slight pallor noted. Skin warm and dry with adequate turgor. Central pulses strong. Peripheral pulses 2+ bilaterally.  Respiratory: Breath sounds equal bilaterally but diminished. Ventilator settings: assist control mode- rate 12 breaths per minute, PEEP 15 cmH2O, tidal volume 300, FiO2 50%. Oxygen saturation 94%. Gastrointestinal: diet NPO. NG tube hooked to low intermittent suction. Dark red output present. Bowel sounds hypoactive x4 quadrants.  Electrocardiogram: Sinus Tachycardia at a rate of 106 beats per minute. PR interval 0.18 seconds. ST segment at isometric line. No evidence of T wave inversion or increased height.    The nurse suspects that the client is suffering from a complication of ventilation and ARDS. The nurse suspects as evidenced by .
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