A client who sustained a head injury is intubated and receiving volume-cycled mechanical ventilation via the controlled mechanical ventilation (CMV) mode. The nurse would explain that this means

a. a preset amount of pressure stays in the client's lungs at the end of exhalation.
b. spontaneous inspiratory effort triggers the ventilator to deliver a preset tidal volume.
c. the client's own breaths can become "stacked" with the ventilator breaths.
d. the ventilator delivers the preset volume regardless of the client's efforts.


D
In the CMV mode the volume-cycled ventilator delivers a preset tidal volume. No allowance is made for spontaneous breaths. Because the ventilator is not responsive to the client's efforts, the CMV mode can lead to agitation and asynchrony.

Nursing

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A nurse is using SBAR and tells the primary health care provider that the abdomen is distended and firm with a pain rating of 8 on a 0-10 scale. Which component of SBAR did the nurse communicate?

a. S b. B c. A d. R

Nursing

A patient with a recent diagnosis of type 2 diabetes has been prescribed metformin (Glucophage) 500 mg PO t.i.d

The nurse who is providing this patient's care should recognize that this medication helps the patient achieve stable blood glucose levels by: A) Stimulating insulin release from the pancreatic beta cells. B) Facilitating the action of insulin on peripheral receptor sites C) Stimulating insulin synthesis by the pancreatic beta cells D) Delaying the absorption of glucose in the intestinal system

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The Aboriginal and Torres Strait Islander Health Performance Framework was set up to measure the outcomes of:

a. WDNWPT. b. COAG. c. NSFATSIH. d. all of the above.

Nursing

M.D. has now completed three cycles of CAF, with her last treatment being approximately 12 days ago

She comes to the emergency department with a 2-day history of fever, chills, and shortness of breath. On arrival, she is disoriented and agitated. Vital signs are 86/43, 119, 28, 103.6 ° F (39.8 ° C), Spo2 85% on room air. The chest x-ray examination demonstrates diffuse infiltrates in the left lower lung. Her basic metabolic panel (BMP) is within normal limits, with the exception of blood urea nitrogen (BUN) 28 mg/dL, creatinine 1.6 mg/dL, and lactic acid 2.4 mg/dL. Interpret M.D.'s laboratory results and explain the rationale for abnormal results.

Nursing