Which of the following scenarios reflects the greatest need for mechanical ventilation?
  1. A patient with a respiratory rate of 26 and an oxygen saturation of 89% on 1 Liter of oxygen.
  2. A patient who is visiting with visitors with an oxygen saturation level of 87%.
  3. An alert and oriented patient who is slightly diaphoretic and is having difficulty breathing.
  4. A patient who has a history of sleep apnea and continues to wake up because of missed breaths.
Explanation
Answer: C - The scenario that reflects the greatest need for mechanical ventilation is the patient who is having difficulty breathing. Mechanical ventilation is appropriate when the patient’s ability to oxygenate and exchange carbon dioxide is impaired.
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