A client's chest X-ray reveals bilateral white-outs, indicating adult respiratory distress syndrome (ARDS). This syndrome results from:
a) cardiogenic pulmonary edema.
b) respiratory alkalosis.
c) increased pulmonary capillary permeability.
d) renal failure.
Answer: c) increased pulmonary capillary permeability.
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The performance-appraisal system work best when what type of criteria is used to make decisions?
A) Qualitative B) Quantitative C) Random D) Objective
You have just assisted in the delivery of a 34-week-gestation infant in the office of a methadone clinic. The mother had been in the clinic with her boyfriend, who was there for his methadone. The infant has a 5-minute APGAR score of 5 after drying, warming, suctioning, stimulating, and providing bag-valve-mask ventilations. Your partner advises that the mother denies narcotic use but is lethargic and has constricted pupils. Which of the following is the MOST appropriate action to take at this point?
A) Intubate the trachea, continue ventilations, contact medical control for consultation concerning intravenous access and administration of naloxone, and prepare to transport to a NICU.
B) Intubate the trachea, administer 0.4 mg of naloxone through the endotracheal tube, ventilate, reassess, and prepare to transport to a NICU if no improvement.
C) Continue bag-valve-mask ventilations, perform chest compressions for 1 minute, reassess, establish intravenous access, continue chest compressions if the heart rate remains less than 100, consult with medical control concerning administration of naloxone and transport destination.
D) Continue bag-valve-mask ventilations, secure intravenous access, administer naloxone, reassess, and prepare for transport to a NICU regardless of improvement.
Protein is normally NOT found in the urine of healthy individuals.
Answer the following statement true (T) or false (F)
An 89-year-old female is short of breath and has a fever. Her SpO2 is low and she has crackles and coarse breath sounds to both lungs. When getting history from her family caregivers, which of the following would make you suspicious that the patient has aspiration pneumonia?
A) Her legs and ankles seem more swollen today. B) She was fine until just after eating lunch. C) Her doctor prescribed an antibiotic for her sinus infection. D) She has not been feeling well for three days.