The nurse is caring for a patient with multiple organ dysfunction syndrome. Which of the following interventions would help optimize tissue perfusion for this patient?
1. administer oxygen
2. use mechanical ventilation
3. assess arterial blood gases
4. assess pulse oximetry
1
Rationale: Interventions to optimize tissue perfusion include administering oxygen and intravenous fluids as prescribed. The use of mechanical ventilation, and assessing arterial blood gases and pulse oximetry are interventions appropriate to optimize pulmonary gas exchange.
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A nurse is assessing a 52-year-old primigravida woman who presents complaining of moderate dark-brown vaginal bleeding. On physical exam, her uterus is large for dates. Which action by the nurse is most appropriate?
A. Assess the woman's diet for folic acid intake. B. Facilitate an ultrasound examination. C. Instruct the woman on a fetal kick count. D. Prepare the woman for pelvic cultures.
During an examination, your patient denies pain or loss of vision when you question him about the triangular lesion on the nasal side of the bulbar conjunctiva extending over the medial portion of his cornea. This is most likely a
a. corneal ulceration. c. pinguecula. b. hordeolum. d. pterygium.
When a woman is asked how she feels about staying home with her children, she responds, "My husband and I have decided that he will work and I will manage the home." According to Duvall, this couple is fulfilling which family task?
A) Allocation of resources B) Maintenance of order C) Division of labor D) Placement of family members in society
A client has been prescribed trimethoprim-sulfamethoxazole (Septra) for treatment of a urinary tract infection. Which comments, made by the client, would the nurse discuss with the prescriber before allowing the client to leave the clinic?
1. "My husband and I plan to start a family as soon as possible." 2. "I forgot to take my potassium supplement today." 3. "Is it okay to take this with my warfarin?" 4. "It is so cloudy today." 5. "My 80-year-old mother is coming to visit today."