Difficulty: Medium
Average Score: 65%
Simulated
A nurse is caring for a client who has an acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)
Correct answer
B,C,D
Rationale
B. Severe dyspnea indicates respiratory distress. C. Headache results from hypoxia/hypercapnia. D. Decreased consciousness signals worsening gas exchange. A. Hypotension is secondary. E. Nausea is not primary.