The nurse is caring for a client who is being mechanically ventilated. Arterial blood gas analysis reveals respiratory acidosis. Which change in ventilator settings would the nurse anticipate?
1. Decrease in oxygen delivery
2. Decreased tidal volume of each breath
3. Increased respiratory rate
4. Increase in humidification of inspired air
3. Increased respiratory rate
Rationale:
This client needs to "blow off" more CO2; therefore, respiratory rate would be increased. No other option given would serve to decrease CO2 levels.
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A disorder that interrupts normal sleep patterns and is characterized by repeated, brief jerks of the arms and legs that occur every 20 to 60 seconds during the beginning of sleep is called:
a. Insomnia b. Narcolepsy c. Hypersomnia d. Nocturnal myoclonus
The student nurse wants to understand where the foundation of current nursing practice originates. The BEST method for obtaining this knowledge would be to:
a. study the history of nursing b. study the history of medicine c. review current issues that impact the profession d. talk with clients who have recently received nursing care
Which statement by a nurse may underrate a patient's feelings and belittle the patient's concerns?
a. "You appear tense." b. "I'm not sure I follow you." c. "Everything will be all right." d. "I notice you are biting your lip."
A nurse provides dietary counseling for a patient with newly diagnosed type 1 diabetes. Which instruction should be included?
1. The patient may eat any foods desired and cover the glucose increase with sliding-scale, regular insulin. 2. Most of the calories should be in the form of protein to promote fat breakdown and preserve muscle mass. 3. Total caloric intake should not exceed 1800 calories in a 24-hour period. 4. The majority of calories should be in the form of carbohydrates and monounsaturated fats.