A patient being mechanically ventilated suddenly develops cardiac arrhythmias from increasingly higher PEEP. The patient most likely has which underlying physiologic issues?
1. Decreased cardiac output and acidosis
2. Increased cardiac output and alkalosis
3. Decreased cardiac output and renal failure
4. Increased cardiac output and electrolyte disturbance
1
Rationale 1: Increasingly higher PEEP with decreased cardiac output and acidosis may predispose the patient to cardiac arrhythmias.
Rationale 2: Increased cardiac output is not as likely to result in arrhythmia as another underlying condition.
Rationale 3: Renal failure is not a specific risk factor for the development of arrhythmia in mechanically ventilated patients.
Rationale 4: Increased cardiac output is not as likely to result in arrhythmia as another underlying condition.
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1. place the patient in a supine position. 2. encourage group activities to promote rest. 3. have the patient cough and deep breathe every 2 hours. 4. encourage large meals for extra needed calories.
A child has been diagnosed with a Wilms tumor. What should preoperative nursing care include?
a. Careful bathing and handling b. Monitoring of behavioral status c. Maintenance of strict isolation d. Administration of packed red blood cells
The nurse teaches the patient with diabetes or pre-diabetes that exercise is especially important for which of the following reasons? Select all that apply
1. Obesity is linked to type 2 diabetes and pre-diabetes. 2. Exercise helps increase insulin receptors and sensitivity to insulin. 3. Exercise enhances the ability of glucose to enter the cells. 4. Individuals with their weight centered in their hips and thighs are at increased risk for glucose intolerance. 5. Regular exercise will prevent destruction of the beta cells.
A nurse enters a client's room and is concerned about the client's statement, "I feel funny but I can't explain why." The nurse assesses the client but cannot determine an actual scientific problem
However, the nurse calls the resident who comes to see the client and while being examined the client goes into cardiac arrest. The nurse utilized which type of knowledge in this situation? A) Personal knowledge B) Aesthetic knowledge C) Empirical knowledge D) Ethical knowledge