The target range for PaCO2 when using hyperventilation to lower ICP is
a. 25 to 30 mm Hg. c. 35 to 40 mm Hg.
b. 25 to 35 mm Hg. d. 35 ± 2 mm Hg.
D
The current trend is to maintain PaCO2 levels on the lower side of normal (35 ± 2 mm Hg) by carefully monitoring arterial blood gas measurements and by adjusting ventilator settings.
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While suctioning an intubated and ventilated patient, the nurse notes that the ventilator alarm is malfunctioning. The proper action would be to
A) reset the ventilator alarm and monitor it closely for the next few hours. B) notify the physician of the problem. C) replace the ventilator with another for the patient and report the occurrence to the designated hospital department. D) report the occurrence to the FDA.
During a nutritional assessment, a client tells the nurse that she limits saturated fats in her diet. A common source of this type of fat would be:
a. coconut oil. b. nuts. c. olive oil. d. sunflower seeds.
The nurse detects hypotension in a laboring client after an epidural. Which actions should the nurse plan to implement? (Select all that apply.)
a. Encourage the client to drink fluids. b. Place the client in a Trendelenburg position. c. Administer a normal saline bolus as prescribed. d. Administer oxygen at 8 to 10 L/min per face mask. e. Administer IV ephedrine in 5- to 10-mg increments as prescribed.
A patient became acutely anxious and hysterical in response to the stress of the patient's home being destroyed by fire the previous evening. The immediate nursing goal for the patient is the:
a. patient will be stabilized. b. illness will go into remission. c. patient will completely recover. d. patient will achieve optimal wellness.