The nurse is caring for a critically ill patient with respiratory failure who is being treated with mechanical ventilation. As part of the patient's care to prevent stress ulcers, the nurse would provide: (Select all that apply.)
a. vagal stimulation.
b. proton pump inhibitors.
c. anticholinergic drugs
d. antacids.
e. cholinergic drugs.
B, C, D
Administration of antacids and H2-receptor blockers, and the suppression of vagal stimulation with anticholinergic drugs and proton pump inhibitors (PPI) are effective forms of therapy.
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A hospital patient began treatment with interferon alfa-2a several days ago and the care team is pleased with the patient's response at this point in treatment
However, the patient has stated to the nurse that he feels increasingly despondent and claims to have lost all hope of recovering from his disease, despite being a previously-optimistic person. How should the nurse best interpret the patient's statements? A) The patient may have misunderstood the potential benefits of interferon alfa-2a. B) The patient may be having psychological adverse effects of interferon alfa-2a. C) The patient is likely to experience a compensatory period of mania in the coming days. D) The patient is likely becoming aware of psychosocial issues that surround interferon alfa-2a treatment.
Peritonitis is a common and dangerous complication of peritoneal dialysis. What is a nursing action that helps these patients fight peritonitis?
A) Green's stain is used to identify the invading organism. B) Drainage fluid is cultured to erradicate the organism. C) Aminoglycosides are added to the dialysate for subsequent exchanges. D) Cephalosporins are given intravenously.
Which of the following represents a concise, clear statement of the specific goal or aim of a research study?
a. The research problem was identified as the general area of ignorance surrounding the causation and diagnosis of meningococcal meningitis, especially among soldiers in uniform, and this constituted a significant gap in the literature. b. The purpose of the project, then, was to define changes in the variable of hypertension across time, with the four most prevalent treatment modalities prescribed by primary care physicians in the greater Chicago area. c. The phenomenon of depression experienced by the primary schoolchild was focused upon in this study. It is an under-researched topic, especially since recent research has identified correlational links with childhood obesity, especially Hispanic and African-American populations. d. Despite the fact that studying the disease, especially from standpoints of prevention and early detection, is costly and time-consuming, it represents a clear priority, since treatment itself is remarkably costly and the afflicted are not likely to experience even short remissions without early intervention.
A client with a deep venous thrombosis (DVT) is going home on warfarin (Coumadin). The nurse instructs the client that lab work will need to be drawn frequently until the levels stabilize
For which lab results will the client's warfarin need to be adjusted? 1. INR of 1.3 2. INR of 2.1 3. INR of 2.8 4. INR of 3.0