A client who is being mechanically ventilated has positive end expiratory pressure set at 20 cm of water. Which of the following should the nurse assess in this client?
1. Hemothorax
2. Pneumothorax
3. Increased venous return
4. Hypertension
2
High levels of positive end expiratory pressure can cause pneumothorax or decreased venous return. Positive end expiratory pressure does not cause a hemothorax or hypertension.
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The nurse is treating a skin tear on an older patient's lower leg. Which dietary selection contains ingredients that will be most favorable to wound healing for this patient?
1. Cereal, milk, and toast 2. Bacon, toast, and coffee 3. Eggs, toast, and orange juice 4. Ham slices, milk, and applesauce
U-500 insulin may be used by patients who are insulin _________
Fill in the blank(s) with correct word
A child is being prepared for an invasive procedure. The mother of the child has legal custody but is not present. After details of the procedure are explained, who can provide legal consent on behalf of a minor child for treatment?
1. The divorced parent without custody 2. A cohabitating unmarried boyfriend of the child's mother 3. A grandparent who lives in the home with the child 4. A babysitter with written proxy consent
Interventions a nurse can use to establish presence with a patient include which of the following? Select all that apply
A. Giving attention B. Answering lights C. Listening D. Administering medication E. Speaking with the family