A patient with acute respiratory distress syndrome (ARDS) demonstrates unmistakable signs of pneumothorax. What is the next intervention that the nurse should implement?
A) Increase the peak end-expiratory pressure (PEEP).
B) Administer an inotropic agent.
C) Elevate the head of the bed to 35 degrees.
D) Assist with a chest tube insertion.
D
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A 30-year-old type 1 diabetic has been admitted to the critical care unit with a diagnosis of diabetic ketoacidosis following a drinking binge over the course of a weekend
The nurse should anticipate that this patient will require what immediate intervention? A) IV administration of calcium gluconate B) Subcutaneous administration of 30 units of insulin glargine (Lantus) C) Oral administration of 2 g of metformin (Glucophage) D) Rapid administration of intravenous normal saline
The patient's admitting 12-lead ECG shows wide, M-shaped P waves. Which of the following admitting diagnoses could be responsible for this finding?
a. Mitral stenosis b. Chronic pulmonary disease c. Hypotension d. Pericarditis
The nurse is performing a health screening for a child from a mixed-status family. Which should be the nurse's most immediate concern?
A. Homelessness. B. Deficient healthcare. C. Lack of transportation. D. Inadequate education.
The nurse is caring for a client with an arterial line. How does the nurse recognize that the client is at risk for insufficient perfusion of body organs?
A. Right atrial pressure is 4 mm Hg. B. Mean arterial pressure is 58 mm Hg. C. Pulmonary artery wedge pressure (PAWP) is 7 mm Hg. D. PO2 is reported as 78 mm Hg.