A 5-year-old boy has been admitted with severe asthma. His initial PaCO2 was 30 mm Hg. One hour later his PaCO2 is 45 mm Hg, and 1 hour after that, his PaCO2 is 56 mm Hg. Which of the following interventions would be anticipated?
a. High-dose steroids c. Fluid resuscitation with normal saline
b. Chest percussion and vibration d. Mechanical ventilation
D
Criteria for mechanical ventilation include a PaCO2 more than 55 mm Hg or increasing greater than 5 to 10 mm Hg per hour.
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The emergency department (ED) nurse is caring for the following clients. Which client does the nurse prioritize to see first?
a. 22-year-old with a painful and swollen right wrist b. 45-year-old reporting chest pain and dia-phoresis c. 60-year-old reporting difficulty swallow-ing and nausea d. 81-year-old with a respiratory rate of 28 breaths/min and a temperature of 101° F
The average expected apical pulse range of a full-term, quiet, alert newborn is:
1. 80 to 100 beats/min. 2. 100 to 120 beats/min. 3. 120 to 160 beats/min. 4. 150 to 180 beats/min.
A nurse is discussing diet with a pregnant woman. Which food should the nurse advise the client to avoid during her pregnancy?
1. Bologna 2. Cantaloupe 3. Spinach 4. Cornbread
In 1992, the Federal Task Force on Homelessness and Severe Mental Illness noted that the fraction size of the homeless population made up by people who are mentally ill was ____________________
Fill in the blank(s) with correct word