A patient with acute respiratory distress syndrome (ARDS) has shown no improvement after 8 hours of mechanical ventilation set to maximize fraction of inspired oxygen. The patient is developing pulmonary hypertension
Which intervention would be best for reducing the negative effects of the pulmonary hypertension in this patient via selective pulmonary vasodilation?
A) Nitric oxide
B) Prophylactic antibiotic therapy
C) Corticosteroids
D) Neuromuscular blocking agents
D
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A hospital administrator is investigating why the turnover rate is so high and why it is difficult to attract new nursing employees. Which situation is most likely to have resulted in this problem?
1. The hospital is in a poorer part of town and offers a great deal of charity care. 2. The hospital pays about $.25 per hour less than other hospitals as a starting wage for nurses. 3. The hospital has a reputation for allowing bullying behavior to occur. 4. The other hospital in town has a more modern building and campus.
When the nurse assesses an arm in proximal distal order, the assessment is performed from
a. the shoulder to the fingers b. front to back. c. fingers to the center of the body d. center of the body to the fingers
Which of the following is the reason why older adults are more prone to skeletal fractures?
A) Because there is a 10% decrease in cortical bone B) Because of calcium deficiency C) Because there is no bone reformation D) Because bone resorption is more rapid than bone formation
The nurse assesses an enlarged thyroid in a patient during the physical examination of the head and neck. What should the nurse do next?
A) Displace the trachea to the right. B) Listen over the thyroid with a stethoscope. C) Ask the patient to sip and swallow water. D) Ask the patient to flex the neck forward.