A patient with acute respiratory distress syndrome (ARDS) has severe hypoxia refractory to high levels of oxygen and mechanical ventilation. What is the underlying pathophysiology most responsible for the hypoxia?
A) Increased capillary permeability from mediator release
B) Increased patchy infiltrate visible on chest x-ray
C) Reduced pulmonary afterload effects
D) Reduced pulmonary preload effects
A
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When assessing a patient for risks of having delirium or dementia, she should be aware that both are more likely to occur in:
1. children. 2. teenagers. 3. middle-aged adults. 4. older adults.
A client has been placed in seclusion. Which client behavior would have warranted this intervention?
1. The client is manic, has been flirtatious towards staff and refused morning medication, and has verbalized a plan to leave 2. The client is psychotic, sits in the corner with hands over ears, and displays increased suspiciousness of and agitation towards others despite recently receiving 1mg risperidone (Risperdal) PRN 3. The client is depressed and wants to be left alone to rest 4. The client is suicidal, has been banging head against the table in the day room, and was unresponsive to staff's verbal redirection
A client admitted 3 days prior with an injury to the thoracic area of the spinal cord tells the nurse, "I'm getting worse. It's harder to breathe." Based on this data, which does the nurse suspect?
A) The client has atelectasis. B) The extent of injury cannot yet be determined. C) The client is improving. D) The client is developing pneumonia.
The nurse managers in a community hospital have been charged with reviewing job descriptions of unlicensed assistive personnel (UAPs) and have questions about the delegation of certain client care activities to UAPs by nurses
To which group, organization, or individual would committee members direct their questions to obtain definitive answers about the parameters of nurse delegation to UAPs? A) The hospital's Chief Nursing Officer B) The hospital's Chief Executive Officer C) The state board of nursing D) The American Nurses Association