A patient is admitted with acute respiratory failure attributable to pneumonia. Smoking history reveals that the patient smoked two packs of cigarettes a day for 25 years, stopping 10 years ago
ABG values on the current ventilator settings are pH, 7.37; PaCO2, 50 mm Hg; and HCO3-, 27 mEq/L. Chest radiograph reveals a large right pleural effusion. Intrapulmonary shunting value of 35% indicates
a. normal gas exchange of venous blood.
b. an abnormal finding indicative of a shunt-producing disorder.
c. a serious and potentially life-threatening condition.
d. metabolic alkalosis.
C
A shunt greater than 10% is considered abnormal and indicative of a shunt-producing disorder. A shunt greater than 30% is a serious and potentially life-threatening condition that requires pulmonary intervention.
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The nurse is reinforcing instructions about crutch walking received from physical therapy, and includes which of the following?
1. Exercise both legs on a regular basis. 2. Going up and down stairs in the home is good exercise. 3. Perform arm-strengthening exercises daily. 4. Support weight with the axilla.
Standard interventions implemented in a mental health facility to prevent a client from attempting suicide are called __________
Fill in the blank(s) with correct word
The LPN/LVN must be aware that digitalis can cause toxicity; it can also cause hormonal effects in male patients. Which hormonal problems can this medication cause a male patient?
a. Increased appetite and weight gain b. Swelling in the legs and feet c. Gynecomastia and tender breasts d. Discoloration around the neck and eyes
A nurse cares for a rape victim who received flunitrazepam (Rohypnol) from the assailant. Which intervention has priority? Monitoring for:
a. coma. b. seizures. c. hypotonia. d. respiratory depression.