The nurse is assessing a patient. Which assessment would cue the nurse to the potential of acute respiratory distress syndrome (ARDS)?
a. Increased oxygen saturation via pulse oximetry
b. Increased peak inspiratory pressure on the ventilator
c. Normal chest radiograph with enlarged cardiac structures
d. PaO2/FiO2 ratio > 300
B
Increased peak inspiratory pressures are often early indicators of ARDS. Oxygen saturation decreases in ARDS. Chest x-ray study will show progressive infiltrates. In ARDS, a PaO2/FiO2 ratio less than 200 is a criterion.
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A major concern among members of lower socioeconomic groups is to:
a. Maintain group health insurance on their families. b. Meet health needs as they occur. c. Practice preventive health care. d. Maintain an optimistic view of life.
The nurse is preparing to examine several clients in the clinic setting. Which of the following clients would need the greatest degree of special consideration during a physical examination?
1. 59-year old with flu symptoms 2. 3-year-old child in for a well check-up 3. 17-year old who complains of fatigue 4. 68-year old with chronic lung disease
While providing care for a patient with skeletal traction to the right leg, a nurse would report which of the following observations to the physician?
1. The patient turns toward the right to answer the phone. 2. Traction weights hang freely. 3. Traction ropes are not crossing. 4. Purulent drainage is noted at the pin site.
Which contagious disease creates a primary skin lesion that is a pinpointed macule, papule, or wheal with hemorrhagic puncture site?
a. Pediculosis b. Tinea capitis c. Scabies d. Rubeola