A client with COPD has severe shortness of breath at rest and arterial oxygen tension (PaO2) of 35 mm Hg. When oxygen via nasal cannula is prescribed, the nurse would assess the client cau-tiously because
a. regulating oxygen settings can be done by unlicensed staff.
b. some clients with COPD have CO2 narcosis.
c. skin damage under the nasal cannula is common.
d. the client may try to sneak a cigarette and get burned.
B
Some clients with COPD and hypercapnia may be oxygen-sensitive; that is, their PaCO2 levels may rise when given supplemental oxygen, leading to suppression of the central nervous system and lethargy. This phenomenon is known as CO2 narcosis. Clients with hypercapnia need to be monitored closely for their response to oxygen administration.
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A nurse manager has many at-risk mothers in the labor and birth unit. What policy can the manager adapt that would best facilitate mother-baby bonding?
A. Encourage attendance at a support group with other at-risk mothers. B. Limit separation of mother and baby to exceptional circumstances only. C. Offer the mother the services of a one-to-one mentor for 1 year. D. Teach breastfeeding and promote its use exclusively for 1 full year.
A 20-kg child has been taking valproic acid [Depakote] for 1 week to treat a seizure disorder. The child is receiving 200 mg PO twice daily. The child's parents report no improvement in sei-zure activity
The nurse will anticipate that the provider will order which change in this child's drug regimen? a. Adding another seizure medication to supplement the valproic acid b. Changing to phenytoin [Dilantin] since the valproic acid is not effective c. Increasing the dose of valproic acid to 300 mg PO twice daily d. Increasing the dose of valproic acid to 200 mg three times daily
The client has been ordered treatment with Amoxil. The client reports to the nurse that she has developed symptoms of vaginitis. The highest priority action on the part of the nurse is to recognize this as:
a. an expected side effect of the medication. b. a life-threatening reaction to the drug. c. evidence of development of a superinfection. d. evidence of an anaphylactic reaction.
These statements are about carbon monoxide. Which is correct?
a. It is a blue tasteless gas. b. It is produced by the burning of candles. c. It is a harmless gas. d. It can cause death.