Inadequate respiratory muscle strength is likely when a patient's MVV is which of the following?
a. Less than 2 times the resting VE
b. Greater than 3 times the resting VE
c. Less than 200 L/min
d. Greater than 120 L/min
ANS: A
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You are caring for a 48-year-old patient with acute onset pulmonary edema secondary to an acute myocardial infarction. He has rales (crackles) in both lung fields and wheezes in the bronchial regions. His blood pressure is 160/90 mmHg, his pulse is 112, and his ventilations are 32. Which of the following medications is indicated FIRST, and why?
A) Nitroglycerin (Nitrostat) to vasodilate the coronary vessels to maximize myocardial oxygen supply B) Furosemide (Lasix) to achieve a diuresis and remove a portion of fluids from the intravascular space C) Nitroglycerin (Nitrostat) to reduce preload and afterload to redistribute fluids to the periphery D) Morphine sulfate to decrease anxiety and reduce afterload
Transferring Schedule III, IV, or V controlled substances requires:
a. written documentation of the drug name, dosage form, strength, quantity, date transferred, and the DEA numbers of any parties involved in the transfer b. the use of DEA Form 41 c. the use of DEA Form 224 d. computerized documentation of the DEA numbers of any parties involved in the transfer
What physiologic effect will raising the expiratory positive airway pressure have in the patient receiving noninvasive ventilation?
a. Increase the functional residual capacity. b. Increase the tidal volume. c. Decrease the PCO2. d. Lower the mean airway pressure.
Some authorities consider adults who allow or provide alcoholic beverages or drugs to minors (those less than ____ years of age) to be guilty of child abuse.
A. 14 B. 16 C. 18 D. 21