Identify diagnostic criteria for ARDS. (Select all that apply.)
a. Bilateral infiltrates on chest x-ray study
b. Decreased cardiac output
c. PaO2/ FiO2 ratio of less than 200
d. Pulmonary artery occlusion pressure (PAOP) of more than 18 mm Hg
A, C
Diagnostic criteria for ARDS include bilateral infiltrates, or "white out," on chest x-ray study and a low PaO2/FiO2 ratio. Decreased cardiac output and a high PAOP are seen in pulmonary edema associated with cardiac causes. Decreased cardiac output and a high PAOP are seen in pulmonary edema associated with cardiac causes.
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Which behavior exhibited by an older adult client should alert the nurse to the possibility that the client is experiencing delirium?
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The nurse is caring for four patients at risk for impaired skin integrity. Which patient requires the most frequent assessment and possible intervention?
a. A malnourished, homeless patient with a nasogastric tube who is bedridden b. A college football player with bilateral long leg casts after a motorcycle accident c. An elderly female ambulating after hip replacement surgery d. A school-age child recovering from a ton-sillectomy and adenoidectomy
The nurse needs to obtain a urine specimen from a female patient. What action should the nurse take when obtaining this specimen?
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