An older adult patient has experienced a severe exacerbation of chronic obstructive pulmonary disease and requires mechanical ventilation. Which of the following settings will be specified by the primary care provider? Select all that apply
A) Fraction of inspired oxygen
B) Respiratory rate
C) Tidal volume
D) Positive end expiratory pressure
E) CO2 saturation level
A, B, C, D
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A 24-year-old man scheduled for brain surgery in the morning constantly listens to music with his headphones on. What should a nurse recognize this behavior as?
a. Conversion reaction b. Conscious coping strategy c. Defense mechanism of undoing d. Reaction formation
What should the nurse instruct an older patient to do to cope with age-associated cognitive changes? Select all that apply.
1. Read daily 2. Write "notes to self" 3. Play computer games 4. Learn memory enhancement techniques 5. Avoid group conversations
The nursing care plan specifies obtaining abdominal girth measurements each shift. The nurse takes the measurement, but when compared with the previous measurement, the new finding is several millimeters off. Which action by the nurse is best?
a. Document the finding in the client's chart. b. Look to see when the client last had a dose of diuretic. c. Ensure that the client's abdomen and flanks are marked with pen. d. Obtain the measurement while the client sits upright.
During an assessment of a patient's cranial nerves, the nurse states, "Please stick out your tongue." The nurse observes that the tongue deviates markedly to the right side. What is the patient most likely exhibiting?
1. abnormal hypoglossal nerve response 2. first cranial nerve (CN I) damage 3. sluggish oculomotor response 4. absence of the Homans sign