The nurse is caring for a term infant born with a congenital diaphragmatic hernia. The nurse's assessment reveals respiratory distress, as evidenced by presence of cyanosis, ineffective breathing pattern and diminished breath sounds
The realizes that the infant requires ventilatory support. The nurse positions the infant on left side with the head of bed elevated. What is the rationale for the nurse's action? a. The parents prefer the infant's head to be elevated.
b. Optimizes gas exchange of unaffected lung and helps to encourage down- ward displacement of the abdominal contents.
c. The infant prefers sleeping on the left side.
d. Provides reverse circulation so that fluids leave the lower extremities and return to the heart.
B
The nurse's action optimizes gas exchange of unaffected lung and helps to encourage downward displacement of the abdominal contents.
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The nurse conducts an assessment of a 38-year-old patient's fitness using the step test. At the end of the test, which heart rate would indicate the patient is in very poor physical condition?
a. 96 beats/min b. 106 beats/min c. 114 beats/min d. 134 beats/min
The nurse would expect clients with dissociative disorders to have what in common with clients with anxiety disorders? Anxiety that is:
1. So disabling that they are totally nonfunctional. 2. So disabling that their functioning is adversely affected. 3. Objective. 4. Nonthreatening.
What should the nurse suspect when hourly assessment of urine output on a patient postcraniotomy exhibits a urine output from a catheter of 1,500 mL for two consecutive hours?
A) Cushing syndrome B) Syndrome of inappropriate antidiuretic hormone (SIADH) C) Adrenal crisis D) Diabetes insipidus
A community health center engages in a partnership with similar organizations agreeing to use common practices and share data when providing care for diabetic clients. This is an example of implementing a:
a. Collaborative b. Registry c. Partnership d. Contract