A patient has full-thickness burns to his face, chest, back, and bilateral upper arms. He was injured less than 24 hours ago
He sustained these injuries in a house fire and is presumed to have inhaled smoke and sustained an inhalation injury as well. He was nasally intubated in the emergency department and placed on mechanical ventilatory support. He is now showing signs of increasing agitation and is demonstrating high peak airway (ventilatory) pressures. What is the likely cause in this change in his condition? a. Uncontrolled pain c. Hypoxemia and confusion
b. Hypovolemia d. Decreased pulmonary compliance
D
Circumferential full-thickness burns to the chest wall can lead to restriction of chest wall expansion and decreased compliance. Decreased compliance requires higher ventilatory pressures to provide the patient with adequate tidal volumes.
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The digestion of carbohydrates begins in the:
1. mouth. 2. pharynx. 3. stomach. 4. small intestine.
To provide adequate postpartum care, the nurse should be aware that postpartum depres-sion (PPD) without psychotic features:
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A 5-month-old infant has been unusually irritable and has been pulling on the ears. The nurse expects that medications for this client will probably include infant acetaminophen and antibiotics for the treatment of:
1. otitis interna. 2. mastoiditis. 3. external otitis. 4. otitis media.