To evaluate the effectiveness of ordered interventions for a patient with ventilatory failure, which diagnostic test will be most useful to the nurse?
a. Chest x-ray
b. Oxygen saturation
c. Arterial blood gas analysis
d. Central venous pressure monitoring
ANS: C
Arterial blood gas (ABG) analysis is most useful in this setting because ventilatory failure causes problems with CO2 retention, and ABGs provide information about the PaCO2 and pH. The other tests may also be done to help in assessing oxygenation or determining the cause of the patient's ventilatory failure.
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1. 250 mL/h 2. 4.2 mL/h 3. 150 mL/h 4. 15,000 mL/h
The nurse is implementing a bowel training program for a patient. What should be included in this patient's plan of care?
1. Assess the patient to determine the best time of day to use the commode for defecation. 2. Keep the bedpan near the patient at all times. 3. Instruct the patient not to attempt to use the bathroom unattended. 4. Stay with the patient while defecating.
An analgesic drug is usually not given until the cervix is dilated to at least _____ cm
a. 1 b. 2 c. 3 d. 4
You may need several washcloths to perform the perineal care procedure without contamination.
Answer the following statement true (T) or false (F)