Respiratory Failure, ARDS and Ventilation · NCLEX Exam

For a ventilated patient in acute hypercapnic respiratory failure, which ventilator change is most appropriate?

  1. Decrease the respiratory rate on the ventilator
  2. Increase tidal volume while watching plateau pressure
  3. Decrease tidal volume to below 4 mL/kg ideal body weight
  4. Remove all PEEP from the ventilator circuit
Show answer and explanation

Correct answer: Increase tidal volume while watching plateau pressure

To correct hypercapnia, increase minute ventilation (either rate or tidal volume) as long as plateau pressures remain safe; this is especially critical in ventilator management.

Difficulty: Medium Question 7 of 15

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