The nurse is caring for a patient on mechanical ventilation with positive end expiratory pressure (PEEP). When assessing the patient, which finding would indicate the possibility of tension pneumothorax?
A. Blood pressure of 170/80 mmHg
B. New onset of absent breath sounds over the right lung
C. Pulse oximetry readings ranging from 94% to 96%
D. Crackles and wheezing heard in both lungs
Answer: B
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The nurse should expect which manifestations in a patient in the chill phase of fever?
A) Shivering, vasoconstriction, report of feeling cold B) No chills, no report of feeling distressed C) Report of feeling uncomfortably hot, sweating D) Hot dry skin, confusion
There are several resources to support evidence-based practice. What are care bundles?
A) Rigorous integrations of research evidence from multiple studies of a topic B) Evidence-based clinical practice guidelines that combine a synthesis and appraisal of research evidence C) Set of interventions to treat or prevent a cluster of symptoms D) Meta-analysis or quantitative methods that integrate findings statistically
The nutritional needs of the pregnant adolescent are based primarily on:
1. Chronologic age 2. Gynecologic age 3. Prepregnancy diet history 4. Blood protein levels
A comprehensive nursing assessment for NMS would necessarily include what?
A) Headache, muscle aches, and paresthesias B) Confusion, giddiness, and hyperalertness C) Muscular rigidity, tremors, and difficulty swallowing D) Dry mouth, flushing, and urinary retention