A client who suffered carbon monoxide poisoning from working on an automobile in a closed garage has a carbon monoxide level of 15%. The nurse would anticipate observing which sign or symptom?
1. Coma
2. Flushing
3. Dizziness
4. Tachycardia
2
Rationale: The signs and symptoms worsen as the carbon monoxide level rises in the bloodstream. Impaired visual acuity occurs at 5% to 10%, whereas flushing and headache are seen at 11% to 20%. Nausea and impaired dexterity appear at levels of 21% to 30%, and a 31% to 40% level is accompanied by vomiting, dizziness, and syncope. Levels of 41% to 50% cause tachypnea and tachycardia, and those higher than 50% result in coma and death.
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Good Samaritan laws were enacted to protect the health care professional from legal liability. An example of care rendered that does not fall into this category is:
a. a doctor who delivers a baby during a football game b. a nurse who sets a broken leg while hiking in the mountains c. an EMT who, upon arrival at an accident, intubates an accident victim who stopped breathing and who was forcibly thrown from his own vehicle d. a nurse who stops to help at the scene of a water skiing accident
A patient is postoperative day 2 following a total laryngectomy, and the nurse is aware of the importance of assessing for tracheostomal stenosis. The nurse can best prevent this complication by:
A) Ensuring that cuff pressures are appropriate B) Performing deep suctioning q2h C) Administering bronchodilators p.r.n. D) Providing humidified air for the patient
A client is to receive amphotericin B (Fungizone). Laboratory tests should be monitored when the client is receiving this potent antifungal drug. These tests include serum _____ levels
a. calcium b. potassium c. albumin d. glucose
The clean linen cart may be stored uncovered in the hallway.
Answer the following statement true (T) or false (F)