Which of these clients would be appropriate to assign to the new nurse working on the unit?
A. A client with diabetic ketoacidosis and change in mental status who has a pH of 7.18
B. A client with emphysema and cellulitis with a PaCO2 level of 58 mm Hg
C. A client with reactive airway disease, wheezing, and a PaO2 level of 62 mm Hg
D. A client with a small bowel obstruction and vomiting with a bicarbonate level of 40 mEq/L
Ans: B. A client with emphysema and cellulitis with a PaCO2 level of 58 mm Hg
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A) Pulse pressure B) Edema pressure C) Fluid pressure D) Oncotic pressure
A nurse is caring for an 80-year-old patient of Chinese heritage. When planning outcomes for this patient, which actions by the nurse would meet the American Nurses Association standards for outcomes identification? Choose all that apply
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A patient, identified as a potential organ donor, has been diagnosed as brain dead and is being maintained on ventilator support. The nurse is reviewing the patient's hemodynamic parameters and is concerned about which findings?
1. Mean arterial pressure 50 mm Hg 2. Central venous pressure 5 mm Hg 3. Serum sodium 145 mEq/L 4. Serum glucose 140 mg/dL 5. Ejection fraction 30%
A nurse is conducting community education classes on skin cancer. One participant says to the nurse: "I have read there are now vaccines to protect you from getting a melanoma." The nurse's most helpful response would be
a. "No, there is no vaccination for melanoma." b. "The vaccines were so ineffective they were withdrawn." c. "Vaccines are being developed against melanoma." d. "Yes the vaccine is available, but it is very expensive."