The patient was admitted to the ICU in respiratory acidosis secondary to smoke inhalation and exposure to caustic gases
After placement of an endotracheal tube and connection to a mechanical ventilator, the arterial blood gas results are pH = 7.28, PaO2 = 85, PaCO2 = 60. What changes to care does the nurse anticipate?
a. Wean the patient from the ventilator.
b. Increase the concentration of oxygen delivered.
c. Decrease the concentration of oxygen delivered.
d. Increase the number of breaths per minute on the ventilator.
ANS: D
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A successful nurse manager is mentoring a newly promoted nurse manager. Which comment by the mentor reflects the most important consideration of all nurse managers?
1. "You must work to develop your staff's competencies." 2. "Take your role on the strategic planning committee very seriously." 3. "Your most important role is to ensure client care accountability." 4. "Fiscal resource management is the most important aspect of your job."
Clinical incompetence is one of the more serious problems facing a nurse manager. Joyce, the nurse manager, is not aware of the problems of Sarah, a novice nurse. After she investigates, it is obvious that Sarah's peers are covering for her
Which of the following might Joyce include in her meeting with the nurses? (Select all that apply.) a. "It is a nurse's professional responsibility to maintain quality control." b. "All instances of clinical incompetence are to be reported." c. "It is not considered being disloyal when one nurse reports another for poor care." d. "Patient care is the number one concern. Meeting standards is mandatory and ne-cessary."
In order to test abstract thought on the mental status exam, the clinician can ask:
A. Count by serial 7's backward B. Spell the word "world" backward C. Draw a clock that shows 2:30 D. How is your brother-in-law related to you?
The nurse should watch for which of the following side effects when clients are receiving NSAIDs, nonsteroidal anti-inflammatory drugs, for pain:
A) diarrhea and vomiting. B) tarry black stools and epigastric pain. C) vertigo and syncope. D) confusion and memory loss.