A patient with acute respiratory distress syndrome (ARDS) is receiving oxygen by nonrebreather mask, but arterial blood gas measurements still show poor oxygenation. As the nurse responsible for this patient's care, you would anticipate a physician order for what action?

a. Perform endotracheal intubation and initiate mechanical ventilation.
b. Immediately begin continuous positive airway pressure (CPAP) via the patient's nose and mouth.
c. Administer furosemide (Lasix) 100 mg IV push immediately (STAT).
d. Call a code for respiratory arrest.


Ans: a. Perform endotracheal intubation and initiate mechanical ventilation.

Nursing

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The nurse sees a client crying after being dropped off for a clinic appointment. The client states, "I am a burden to my entire family now that I cannot drive."

Based on this data, which does the nurse include in the client's plan of care? A) Risk for depression B) Risk for cardiac disease C) Risk for situational depression D) Risk for bipolar disorder

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Recently, his symptoms have been determined by a Mantoux test to be caused by tuberculosis (TB), a diagnosis that has left the man distraught. What should the nurse tell the resident? A) "Recent advances in medicine mean that a brief course of antibiotics will nearly always cure TB.". B) "This will likely mean that you will have to move to a specific institution, but your prognosis is actually very positive.". C) "This doesn't mean that you have been neglecting yourself; rather, it's a reflection of the fact that TB is much more common in recent years.". D) "This will require a long course of medications, but if you're vigilant about taking them as scheduled, you'll likely have no long-term effects.".

Nursing

The nurse is teaching a patient about her chest drainage system. Which of the following should the nurse include in the teaching? Choose all that apply

1) Perform frequent coughing and deep-breathing exercises 2) Sit up in a chair but not walk while the drainage system is in place 3) Get out of bed on her own as much as possible 4) Immediately notify the nurse if she experiences increased shortness of breath

Nursing

The rehabilitation nurse ensures that teaching is (Select all that apply)

a. designed, delivered, and reinforced in ways that are meaningful. b. designed to cover all aspects of the rehabilitation process. c. individualized to the client and family even when standardized material is used. d. presented in appropriate levels and formats. e. readily available so that learning can occur when the learner is ready.

Nursing