A patient with acute respiratory distress syndrome (ARDS) has these arterial blood gas results: pH 7.33, PaCO2 50, HCO3 26, PaO2 80, SaO2 80

The patient is mechanically ventilated with 60% oxygen and positive-end expiratory pressure (PEEP) at 5 cm H2O. These arterial blood gas results, when compared to the previous day, show no improvement in oxygenation and increased PaCO2 . When the nurse is assessing these results, what is most significant in evaluating the patient's progress?
A) Patient isn't responding to conventional ventilation therapy.
B) Development of metabolic alkalosis is compensatory.
C) Inhaled oxygen and PEEP should be increased.
D) Change in acid–base balance is ominous.


D

Nursing

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Pete has recently been admitted to the hospital and is being treated for bipolar disorder. When you go to check in on him, he tells you that he is feeling very drowsy and has been vomiting. He is also running a fever

You suspect that Pete's problem is caused by: A) Anxiety over his new surroundings after being admitted to the hospital for treatment B) Side effects of lithium therapy he is receiving C) A hospital-acquired viral infection D) Food poisoning

Nursing

A nurse is caring for a 30-year-old client who has been involved in a drunken driving accident. Which of the following is the permitted maximum legal level of blood alcohol content when driving?

A) 0.1 g/dL B) 0.3 g/dL C) 0.4 g/dL D) 0.5 g/dL

Nursing

The Health Information Technology for Economic and Clinical Health (HITECH) Act is part of the _______________________.

Fill in the blank(s) with the appropriate word(s).

Nursing

Well-controlled body movements depend on a balance between the neurotransmitters ________.

A. acetylcholine and dopamine B. acetylcholine and norepinephrine C. dopamine and norepinephrine D. dopamine and serotonin

Nursing