An elderly client is admitted with chronic obstructive pulmonary disease (COPD) exacerbation. Pulse oximetry is 84% on room air. The client is restless, has expiratory wheezing and a productive cough, and is using his accessory muscles to breathe. Which prescription should the nurse question?
a. Albuterol 2.5 mg by nebulizer
b. Intravenous (IV) methylprednisolone 125 mg now and every 6 hours
c. IV morphine 2 mg now and may repeat every 2 hours
d. Oxygen at 2 L/min by nasal cannula
Ans: c. IV morphine 2 mg now and may repeat every 2 hours
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The nurse has assessed a patient's pulse, temperature, blood pressure, and respiratory rate and is now measuring the patient's oxygenation by pulse oximetry. The nurse understands that this assessment finding is based on:
A) The ratio of oxygen to carbon dioxide in arterial blood B) The amount of oxygen dissolved in blood plasma C) The saturation of hemoglobin by oxygen molecules D) The quantity of free oxygen in arterial blood
A patient is in the compensatory stage of shock. What symptoms displayed by the patient would indicate the need to implement immediate nursing action?
a. Irritable and restless b. Listless and confused c. Unconscious d. Anxious and fearful
The correct notation for two hundred fifty-five and seven hundredths millimeters is
A. 255.7 mm B. 25.57 MM C. 255.007 mm D. 255.07 mm
Data collection in mixed methods research can involve all methods of structured and unstructured data. In sequential designs, how are decisions about data collection made?
A) Second phase are based on findings from the first phase. B) Third phase are based on findings from the first phase. C) Fourth phase are based on findings from the second phase. D) Fifth phase are based on findings from the fourth phase.