A patient with chronic obstructive pulmonary disease has just been started on pressure-controlled ventilation with positive end-expiratory pressure (PEEP) of 18 cm H2O. The fraction of inspired oxygen is set to 50%

Which of the following is a sign of tension pneumothorax that the nurse should watch for?
A) An abrupt decrease in peak inspiratory pressure
B) Tracheal deviation from the midline
C) Syncope
D) Bradypnea


B

Nursing

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Which set of arterial blood gases would the nurse expect to find in a client who developed a pulmonary embolism 15 minutes ago?

A. pH 7.30, HCO3– 22 mEq/L, PCO2 60 mm Hg, PO2 66 mm Hg B. pH 7.38, HCO3– 22 mEq/L, PCO2 45 mm Hg, PO2 96 mm Hg C. pH 7.47, HCO3– 23 mEq/L, PCO2 25 mm Hg, PO2 82 mm Hg D. pH 7.30, HCO3– 28 mEq/L, PCO2 65 mm Hg, PO2 75 mm Hg

Nursing

The nurse charts, "Patient stated pain is at a level of 8 on a scale of 1 to 10 and that he is still nauseated. Patient complains of feeling cold and has an oral temperature of 97.8°." What information would be considered objective findings?

a. Pain measurement b. Presence of nausea c. Sense of cold d. Oral temperature

Nursing

The Thomas test is used to detect:

a. hip dislocation. b. unstable sacroiliac joints. c. knee instability. d. flexion contractures of the hip.

Nursing

A parent is concerned that because her son has swelling on only one side of his face with mumps, he can develop mumps on the other side in the future. You would advise his mother that

A) to prevent this, her son should receive active immunization against mumps as soon as he is well. B) her son is immune to further attacks of the disease. C) there is nothing that can be done to prevent another attack of mumps in the future. D) it is immaterial; mumps in adulthood is not serious.

Nursing