A patient in the ICU with acute respiratory distress syndrome (ARDS) complains of worsening dyspnea
Which of the following physiological changes associated with ARDS are most responsible for this patient's impaired ventilation? Select all that apply.
A) Decreased lung compliance
B) Pulmonary hypertension
C) Vasoconstriction of the pulmonary vascular bed
D) Increased airway resistance
E) Cyanosis
F) Multisystem organ dysfunction
A, C
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A patient who has a diagnosis of schizophrenia is likely to have which of the following pathophysiologic effects?
A) Increased dopamine B) Increased serum potassium C) Decreased numbers of glutamate receptors D) Decreased interaction with GABA
A cognitively impaired patient who has been a widow for 30 years is frantically trying to leave the unit, saying, "I have to go home to start dinner before my husband comes home from work."
To intervene with validation therapy, the nurse should say: a. "Please, you must come away from the door.". b. "Mrs. Smith, you have been a widow for many years.". c. "You want to go home to get your husband's dinner.". d. "I think your husband said he is going to eat out tonight.".
In what order will the nurse perform these actions when doing a physical assessment for a patient admitted with abdominal pain? (Put a comma and a space between each answer choice [A, B, C, D].)
a. Percuss the abdomen to locate any areas of dullness. b. Palpate the abdomen to check for tenderness or masses. c. Inspect the abdomen for distention or other abnormalities. d. Auscultate the abdomen for the presence of bowel sounds.
The nurse is educating a 16-year-old girl who has just been diagnosed with acute myelogenous leukemia. Which statement best demonstrates therapeutic communication?
A) Discussing the treatment plan in detail for the next few weeks B) Using medical terms when describing the disease C) Assessing the adolescent's emotional status in private D) Talking about clothing and the stores where she shops