Treatment of adult respiratory distress syndrome (ARDS) includes:
a. administration of surfactant therapy
b. clear liquid diet
c. administration of oxygen via a reservoir mask
d. supportive care until the underlying cause is found and treated
D
Medical management is directed toward treating the underlying cause of ARDS and includes mechanical ventilatory support, bronchial suctioning, and total parenteral nutrition. A variety of medications are prescribed, including corticosteroids, diuretics, bronchodilators, and vasopressors. The client is placed in intensive care, and nursing care is focused on improving gas exchange, monitoring vital signs and respiratory status, and relieving anxiety.
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The nurse is caring for a young adult client after a cervical biopsy. The client has expressed anxiety about the results. The healthcare provider peeks into the client's room and says, "The biopsy is negative."
The nurse later finds the client sobbing. Which response by the nurse is appropriate? A) "What did the healthcare provider tell you about the biopsy?" B) "You seem upset. Do you want to talk to me about the test results?" C) "Why are you crying with such good news?" D) "The term 'negative' in this case is good!"
Which of these items is an example of a positive stressor?
1. Test anxiety 2. Loss of a job 3. Paying income tax 4. Single motherhood
Fetal acute hypovolemia can result from which of the following maternal disorders?
a. Abruptio placenta b. Pregnancy-induced hypertension c. Maternal diabetes d. Breast cancer
An older adult's perineal skin is dry and thin with mild excoriation. When providing hygiene care after episodes of diarrhea, what should the nurse do?
a. Thoroughly scrub the skin with a washcloth and hypoallergenic soap. b. Tape an occlusive moisture barrier pad to the patient's skin. c. Apply a skin protective ointment after perineal care. d. Massage the skin with light kneading pressure.