The physician orders the following mechanical ventilation settings for a patient who weighs 75 kg. The patient's spontaneous respiratory rate is 22 breaths/min
What arterial blood gas abnormality may occur if the patient continues to be tachypneic at these ventilator settings? Settings: Tidal volume: 600 mL (8 mL per kg) FiO2: 0.5 Respiratory rate: 14 breaths/min Mode assist/control Positive end-expiratory pressure: 10 cm H2O a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis
D
Assist/control ventilation may result in respiratory alkalosis, especially when the
patient is breathing at a high rate. Each time the patient initiates a spontaneous breath—in this case 22 times per minute—the ventilator will deliver 600 mL of volume.
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The nurse caring for a woman in labor understands that the primary risk associated with an amniotomy is
a. Maternal infection b. Maternal hemorrhage c. Prolapse of the umbilical cord d. Separation of the placenta
An adult daughter brings a patient to the gerontology clinic and reports that the patient has become increasingly withdrawn and no longer goes out during the day. What response by the nurse is best?
a. Administer a mini mental state exam. b. Ask the patient why this is happening. c. Assess if the patient feels safe at home. d. Determine if abuse is occurring.
The nurse is caring for a pregnant 16-year-old who says, "I don't want my mother to know I'm pregnant. Please don't tell her." The nurse's best response would be:
A) "I'm sorry, but it would be unethical for me not to tell your mother you are pregnant." B) "I'm sorry, but I am legally obligated to talk with your mother." C) "I'm afraid you'll have to talk to your obstetrician, because she is the one to make that decision." D) "You have the right to confidentiality, and I cannot legally share the information that you are pregnant with anyone but you."
A client is being treated at home for vancomycin-resistant Enterococcus (VRE). The client and the family are worried about spreading the infection. Which action by the nurse is best?
a. Instruct the client to use a separate bath-room. b. Encourage the family to stay 3 feet away from the client. c. Tell the client to cough into tissues and dispose of them immediately. d. Teach the family ways to increase their immune system functioning.