The nurse suspects a pediatric patient is experiencing acute respiratory distress syndrome (ARDS). What laboratory finding correlates to this condition?
A.
HCO3 of 22 mEq/L
B.
PCO2 of 88 mm Hg
C.
pH of 7.34
D.
PO2 of 60 mm Hg
ANS: B
Arterial blood gas results in a child with ARDS include hypoxemia, hypercarbia, and acidosis. All values here are normal except for the PCO2, which is high (hypercarbia).
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A woman has painful hemorrhoids after a vaginal birth. Her husband brings her a donut pillow to sit on. What response by the nurse is best?
A. "A lot of women get good pain relief from these." B. "Donut pillows actually increase hemorrhoid pain." C. "I will have to get permission for her to use this." D. "That was nice of you, but these don't work well."
A patient has been court-ordered to take his antipsychotic medications due to concerns that he will be a danger to himself. The nurse recognizes such action may be justified in which situations? Select all that apply
1. To alleviate suffering 2. In an emergency situation 3. When in the patient's best interest 4. To foster the therapeutic relationship 5. To care a patient who cannot care for himself
The nurse determines that an older adult who has chronic bronchitis is at high risk for falls, but he repeatedly tries to ambulate without assistance. Which alternative measure to restraints is contraindicated for this older adult?
a. Inform staff about his risk for falls. b. Place a concave mattress on the bed. c. Provide frequent walks in the hallway. d. Help him learn to use an assistive device.
Receptive body language is an example of
A. Nonverbal communication B. Staff behavior in a healthy culture C. Assertiveness used to build a healthy culture D. Both A and B