Free BCEN Certified Flight Registered Nurse (CFRN) Practice Question

A 45-year-old male patient with a severe exacerbation of chronic obstructive pulmonary disease (COPD) is being prepared for invasive mechanical ventilation. After initiating ventilation with a volume control mode, the patient's arterial blood gas (ABG) shows PaCO2 is 55 mmHg (high), PaO2 is 70 mmHg (low), pH is 7.25 (acidotic). What should be your next step in managing this patient's ventilation settings?

  • Increase the tidal volume

  • Decrease the respiratory rate

  • Reduce the FiO2

  • Switch to pressure control mode

This question's topic:
BCEN Certified Flight Registered Nurse (CFRN) / 
Resuscitation Principles
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