You are the only licensed health care professional assigned to a small medical-surgical unit with 12 beds. Two unlicensed assistive personnel are also working on this unit
Which of these four clients with respiratory problems should be assigned to you rather than to the un-licensed assistive personnel? A. 82-year-old woman receiving steroid therapy for pulmonary fibrosis whose pulse oximetry is 92%
B. 35-year-old woman receiving intravenous aminophylline for asthma whose pulse oximetry is 92% and whose FEV1 is 50% of expected
C. 55-year-old man with chronic obstructive lung disease whose pulse oximetry is 88% and who has the following arterial blood gas values: pH, 7.35; HCO3–, 36 mEq/L; PCO2, 65 mm Hg; PO2, 78 mm Hg
D. 50-year-old man 2 days postoperative from a pneumonectomy for lung cancer whose pulse oximetry is 92% and whose chest tube is draining 200 mL/8-hour shift
B
This client's condition is the least stable and she is receiving a medication intravenously that has a narrow therapeutic range, with great risk for toxicity.
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A nurse assesses clients on a cardiac unit. Which clients should the nurse identify as at greatest risk for the development of acute pericarditis? (Select all that apply.)
a. A 36-year-old woman with systemic lupus erythematosus (SLE) b. A 42-year-old man recovering from coronary artery bypass graft surgery c. A 59-year-old woman recovering from a hysterectomy d. An 80-year-old man with a bacterial infection of the respiratory tract e. An 88-year-old woman with a stage III sacral ulcer
The nurse is explaining the origins of pain to several nursing students. Review the examples below, and identify the one that best describes somatic pain:
1. Second-degree burn 2. Migraine headache 3. Gas pain 4. Knee sprain
An elderly gentleman was shoveling his snow when you arrived for a home visit. You notice that when he comes inside he is very pale, is shivering, and seems a bit confused. His skin is very cold when you touch it
Which of the following actions would be most appropriate for the nurse to take first? a. Apply warm moist towels to his head, neck, chest, and groin b. Give him hot coffee with sugar to drink c. Have him get in a tub of very hot water immediately d. Call 911
What happens to the diaphragm during inspiration?
A) It relaxes and raises. B) It contracts and flattens. C) It relaxes and flattens. D) It contracts and raises.