The nurse is reviewing the health history of a patient diagnosed with an acute lung injury for a cause of the disease process. Which statement correctly identifies the cause for this type of lung injury?
1. Acute lung injury can be caused indirectly from sepsis, systemic inflammatory response syndrome, or pancreatitis.
2. Acute lung injury is a single organ dysfunction syndrome that has a chronic onset.
3. Acute lung injury is caused by few infiltrates on chest radiography.
4. Acute lung injury is caused by right ventricular failure.
1
Rationale 1: This statement reflects indirect causes of acute lung injury.
Rationale 2: This statement does not correctly identify the cause of acute lung injury.
Rationale 3: This statement does not correctly identify the cause of acute lung injury.
Rationale 4: This statement does not correctly identify the cause of acute lung injury.
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A nurse is taking a patient who has Alzheimer disease to the bathing room for a tub bath. The patient states, "Please don't make me take a bath today. I am so afraid that I will be washed down the drain." What is the nurse's best response?
a. "Don't be silly; there's no way you would fit in the drain." b. "I am your nurse, and I will stay with you, so you shouldn't be afraid of your bath." c. "Let's go back to your room, and I will bathe you there." d. "Today is your day for a bath."
The physician has ordered dantrolene (Dantrium) for a patient. What is a priority assessment by the nurse prior to administering this medication?
1. Does the patient have gastric ulcer disease? 2. Does the patient have cardiovascular disease? 3. Does the patient have gallbladder disease? 4. Is the patient pregnant or lactating?
A central line is inserted by the medical resident on an older adult client. During the insertion, the nurse assesses the client's sudden shortness of breath. What does this symptom indicate?
A) Pneumothorax B) Myocardial infarction C) Hemothorax D) Pulmonary embolism
The nurse is using Level II research when planning best practices for skin care. Which type of evidence is the nurse using?
a. Cochrane Review b. A quasi-experimental study c. Joanna Briggs Best Practice Review d. A randomized controlled trial (RCT)