A patient has experienced an acute lung injury. What factors in the patient's history will probably increase his risk for developing adult respiratory distress syndrome (ARDS)?
A) Smokes two packs a day
B) Drinks one glass of wine on holidays
C) Has a sedentary lifestyle
D) Has no known chronic diseases
A
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The nurse informs a patient that a wet-to-dry dressing is applied wet and allowed to dry. This drying process causes it to adhere to the wound. What is the result of this intervention when the dressing is removed?
a. Destruction of tissue b. Bleeding c. Mechanical debridement d. Prevention of infection
A client is admitted with the diagnosis Rule out appendicitis. Which nursing action is MOST important?
a. assessing the client's pain threshold c. encouraging the family to visit b. avoiding administering analgesics d. monitoring laboratory reports
Which condition is most likely to cause formation of edema?
A. Increased plasma osmotic pressure, increased plasma hydrostatic pressure B. Increased plasma osmotic pressure, decreased plasma hydrostatic pressure C. Decreased plasma osmotic pressure, increased plasma hydrostatic pressure D. Decreased plasma osmotic pressure, decreased plasma hydrostatic pressure
Which nursing diagnosis should the nurse plan to address first for a person experimenting with autoerotic asphyxia?
A) Personal identity disturbance B) Spiritual distress C) Pain related to extreme discomfort D) Risk for violence: self-directed