A patient has arterial blood gas testing performed. Her PaO2 is 95 mm Hg, SaO2 is 90%, pH is 7.4, and HCO3 is 23 mEq/L. Which of these values should the nurse be most concerned about?
A) PaO2
B) HCO3
C) pH
D) SaO2
D
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A nurse is working with a patient with rheumatic disease who is being treated with salicylate therapy. What statement would indicate that the patient is experiencing adverse effects of this drug?
A) "I have this ringing in my ears that just won't go away." B) "I feel so foggy in the mornings and it takes me so long to wake up." C) "When I eat a meal that's high in fat, I get really nauseous." D) "I seem to have lost my appetite, which is unusual for me."
A hospitalized patient has become unresponsive. The left side of the body is flaccid. The attending physician believes the patient may have had a hemorrhagic stroke. What is the nurse's priority intervention?
1. Move the patient to the critical care unit. 2. Assess blood pressure. 3. Assess the airway and breathing. 4. Observe urinary output.
A neighbor notices an 81-year-old getting water from someone's outside faucet. The neighbor notices that this person's ankles are very swollen and there is an open wound on her left leg
The older adult says, "I stopped taking my pills because the water department turned off my water and I can't use the bathroom. My daughter did not pay the water bill, and she never has time to take me to the doctor so my legs can be checked." The neighbor calls adult protective services. Which of the following interventions is the priority when the nurse visits for an evaluation and does not find any immediate danger? A) The competency of the older adult in making decisions needs to be determined. B) The daughter needs to be picked up by the police on a neglect charge. C) The older adult needs to be involuntarily committed to a long-term care facility. D) An involuntary legal intervention needs to be initiated immediately.
The client has had malaria for many years. He asks the nurse why medications might not cure his illness when there are several drugs available. What is the best response by the nurse?
1. "When erythrocytes rupture, the parasites are too numerous for medications to be effective." 2. "Late in the illness, the immune system is too overwhelmed for medications to be effective." 3. "Once the parasite starts multiplying in your liver, medications are usually ineffective." 4. "When cysts occur late in the disease, the parasite is too resistant for medications to be effective."