A client who had onset of acute pancreatitis 6 days ago has a respiratory rate of 26 with fine crackles throughout lung fields, and seems a little confused and agitated. The nurse would con-tinue to assess this client for manifestations of
a. adult respiratory distress syndrome.
b. atelectasis and pneumonitis.
c. pneumonia.
d. tension pneumothorax.
A
Manifestations of adult respiratory distress syndrome (ARDS) secondary to acute pancreatitis include respiratory distress, tachypnea, dyspnea, fever, dry cough, fine crackles heard throughout lung fields, possible confusion and agitation, and hypoxemia with arterial oxygen level below 50 mm Hg.
You might also like to view...
An older patient complains of overwhelming daytime fatigue, which the spouse attributes to loud snoring and erratic breathing patterns during the night. Which health problem should the nurse suspect as causing this patient's fatigue?
A) Insomnia B) Central sleep apnea C) Nocturnal myoclonus D) Obstructive sleep apnea
An 81-year-old patient with heart failure comes into the emergency room accompanied by his daughter. The daughter reports that her father "banged his head" as he was getting out of the car 4 days ago
He did not complain of headache pain, so she did not obtain medical advice. She reports that she noticed a mild facial droop, slurring of speech, and gait disturbance in her father today. She reports that her father takes Coumadin, digoxin, and an ACE inhibitor. On physical examination, there is decreased right hand grip 2/5 strength and decreased right quadriceps strength 2/ 5 compared to the left side 5/5. CT scan shows an intracranial bleed. Which of the following is the most probable diagnosis? A. Subarachnoid hemorrhage B. Epidural hematoma C. Subdural hematoma D. Intracerebral hemorrhage
The facility is conducting an educational seminar for newly employed nurses. The program addresses the reporting of sentinel events. Which of the following occurrences qualify for this criteria? Select all that apply
A) A patient reports plans to file a complaint concerning the amount of time it took for a nurse to respond to a call light. B) A patient's baby is misidentified and receives breast milk from another mother. C) A patient experiences a reaction to a unit of blood, resulting in itching and hives. D) A patient faints during ambulation with the nurse, resulting in a concussion. E) The nurse administers a lethal dosage of medication in error.
What is the mechanism of action of Pantoprazole sodium (Protonix) in the stomach?
A. Moves chyme through the stomach into the small intestine more quickly, thereby ensuring stomach contents empty in a timely manner. B. Inhibits the proton pump in the stomach lining from creating more acid C. Neutralizes stomach acid by raising the pH of the stomach contents.