The nurse would determine that a client is having a dysfunctional ventilatory weaning response if the client's respiratory rate rises to
a. 20 breaths per minute.
b. 25 breaths per minute.
c. 30 breaths per minute.
d. 35 breaths per minute.
D
Manifestations of respiratory muscle fatigue include a respiratory rate of more than 30 breaths per minute or higher, increased PaCO2, abnormal patterns of breathing, hemodynamic changes (e.g., dysrhythmias), diaphoresis, anxiety, and dyspnea.
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The nurse is caring for a client in a community clinic who wishes to quit smoking. The client asks the nurse, "If I quit smoking, will my risk of lung cancer be the same as a nonsmoker?" Which is the best response by the nurse?
A) "No one knows for sure what the risk is for someone who quits smoking." B) "Your risk of lung cancer will be equal to that of a non-smoker." C) "Your risk of lung cancer will decline if you quit, but it will remain higher than a non-smoker's." D) "Your risk of lung cancer will never drop because the damage has already been done."
The American Hospital Association Patient's Care Partnership states,
"The patient has the right to make decisions about the plan of care prior to and during the course of treatment and to refuse a recommended treatment or plan of care to the extent permitted by law and hospital policy." Which ethical principle is clearly reflected in this passage? 1. fidelity 2. nonmaleficence 3. autonomy 4. beneficence
A patient presents in the ER with signs and symptoms of VTE. What type of medication administration would most likely be ordered to infuse a large dose of heparin for this patient?
A) Administer heparin by intravenous bolus or push through an intravenous infusion. B) Administer a piggyback intermittent intravenous infusion of heparin. C) Administer an intermittent intravenous infusion of heparin via a volume-control administration set. D) Administer heparin via a continuous infusion.
A client who frequently exhibits angry outbursts is diagnosed with antisocial personality disorder. Which appropriate feedback should a nurse provide when this client experiences an angry outburst?
A. "Why do you continue to alienate your peers by your angry outbursts?" B. "You accomplish nothing when you lose your temper like that." C. "Showing your anger in that manner is very childish and insensitive." D. "During group, you raised your voice, yelled at a peer, and slammed the door."