The unconscious patient with a closed head injury is on mechanical ventilation. To improve brain perfusion through increased blood pressure, the CO2 level is maintained at _____ mm Hg
a. 10 to 15
b. 15 to 20
c. 20 to 25
d. 25 to 30
D
The carbon dioxide level is set to be maintained at 25 to 30 mm Hg to create vascular constriction, raise blood pressure, and perfuse the cerebrum.
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An instructor is preparing a plan for a class on the history of public health nursing advocacy. Which persons would the instructor expect to include? Select all that apply
A) Clara Barton B) Lillian Wald C) Mary Mahoney D) Imogene King E) Dorothea Orem
The nurse is caring for a patient with a sleep-wake disorder. What outcome would be most appropriate for this patient?
1. The patient will state a feeling of rest upon awakening. 2. The patient will increase amount of time slept in 3 days. 3. The patient will increase sleep time from 5 hours per night to 7 hours per night. 4. The patient will increase sleep time from 5 hours per night to 7 hours per night in 3 days.
Explanation: 1. Polypharmacy is a major factor in hospital readmission rates due to unnecessary adverse events. The nurse teaches ways in which the client can avoid readmission to the hospital, including how to take medications as prescribed. 2. There is not enough information to determine if the client is prone to missing medication doses. The nurse does suggest ways in which the client can
keep the medications and doses on a regular schedule, such as using a pill planner. 3. Although the client may have multiple conditions that warrant the medications prescribed, it is the job of each provider to obtain a thorough history. Additionally, pharmacists should alert the client and provider to any interaction potentials. 4. Cognitive impairments do occur when clients are on numerous medications. The nurse ensures the client understands their medication regimen and side effect management. 1. Dexamethasone 2. Ketorolac 3. Fluconazole 4. Phenobarbital 5. Atenolol
For a client admitted to the hospital with chronic venous disease, the nurse's assessment of the client's legs would most likely reveal
a. decreased pulses. b. erythema. c. overgrowth of hair. d. reduced muscle mass.