A patient in the recovery phase of acute respiratory distress syndrome continues to experience difficulty with breathing
The nurse explains to a colleague that this phase is characterized by: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Development of fibrotic tissue in the alveolar capillary membrane resulting in alveolar disfigurement
2. Decreased lung compliance
3. Worsening pulmonary hypertension
4. Increased dead space ventilation
5. Formation of hyaline membranes
1,2,3,4
Rationale 1: This is a pathophysiological change that occurs in the recovery phase of acute respiratory distress syndrome.
Rationale 2: This is a pathophysiological change that occurs in the recovery phase of acute respiratory distress syndrome.
Rationale 3: This is a pathophysiological change that occurs in the recovery phase of acute respiratory distress syndrome.
Rationale 4: This is a pathophysiological change that occurs in the recovery phase of acute respiratory distress syndrome.
Rationale 5: This is not a pathophysiological change that occurs in the recovery phase of acute respiratory distress syndrome.
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The nurse is caring for a patient who could be at risk for uterine rupture. The nurse is monitoring the fetus closely for: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Late decelerations. 2. Bradycardia. 3. Loss of ability to determine fetal station. 4. Tachycardia. 5. Early decelerations.
A nurse assessing a client in the fourth stage of labor notes that the uterine fundus is firmly contracted and is midline at the level of the umbilicus. On the basis of this finding, the nurse most appropriately:
A. Records the findings B. Massages the fundus C. Contacts the health care provider D. Helps the mother void
A patient in a psychiatric rehabilitation program says, "I feel so guilty because my family gives me so much and I have so little to give in return.". What is the nurse's most therapeutic reply?
a. "Your family feels good about giving to you.". b. "Remember that, and show them you are grateful.". c. "Following your treatment plan and helping with household tasks are ways you can give back.". d. "You can help most by keeping your feelings to yourself and not burdening the family when you feel upset.".
The most important reason to protect the preterm infant from cold stress is that:
a. it could make respiratory distress syndrome worse. b. shivering to produce heat may use up too many calories. c. a low temperature may make the infant less able to digest nutrients. d. cold decreases circulation to the extremities.