Explain why Martha's lung compliance increased when positioning was changed from the supine to high semi-Fowler position
What will be an ideal response?
Suggested response: In the obese patient central obesity can cause cephalic displacement of the diaphragm resulting in a more positive pleural pressure, alveolar collapse and a reduction in compliance. This problem can be exacerbated by supine positioning. Head-of-bed elevation can cause downward placement of the diaphragm resulting in alveolar recruitment and an improvement in respiratory compliance.
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The nurse notes the pregnant client's blood pressure has dropped from 122/70 mmHg taken during her second month of pregnancy to 118/64 mmHg during her fifth month of pregnancy. Which action by the nurse is most appropriate based on this data?
1. Assess for signs of hemorrhage. 2. Document the blood pressure as a normal finding. 3. Consult the healthcare provider. 4. Tell the client to come in the next day so the nurse can recheck her blood pressure.
Several nurses are discussing the effect of the medicalization of care on nursing patients with mental illness. What statement indicates that the nurses understand this historical trend?
1. "Medicalization tended to pull care away from its holistic tradition." 2. "Medicalization provided an essential basis for nursing education." 3. "Medicalization reflected a diminished interest in psychopathology." 4. "Medicalization provided a good understanding of the mind-body connection."
The physician has ordered Atropine 0.2 mg subcutaneous stat. The medication is available as Atropine 400 mcg/mL. How many milliliters should the nurse administer?
A) 14 B) 1/2 C) 2 D) 4
The nurse is assessing an intubated patient who returned from coronary artery bypass surgery 3 hours ago. Which assessment finding might indicate that this patient is experiencing pain?
a. Blood pressure 160/82 mm Hg b. Temperature 100.6°F c. Heart rate 80 beats/min d. Oxygen saturation 95%