A patient has been admitted to the CCU in severe distress with acute respiratory failure. Initial arterial blood gases are pH 7.33, PaCO2 65, HCO3 30, PaO2 65, SaO2 90 . What is the most important nursing action?
A) Administer oxygen at 100%.
B) Prepare for intubation.
C) Obtain arterial blood gases.
D) Measure functional expiratory volume.
B
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An indicator that the suicidal client is exercising suicide self-restraint is
a. compliance with antidepressant therapy. b. agreeing to sign a no-suicide contract. c. disclosing a plan for suicide to staff. d. expressing feelings of hopelessness to nurse.
The nurse notes ecchymotic areas on the client's skin. This is an example of which physical examination technique?
a. Inspection c. Percussion b. Palpation d. Auscultation
During a leadership team meeting, one member vetoes the implementation of connected health for the organization. Which response should be provided?
A) "It is a passing fad." B) "It isn't a cost-effective method to provide care." C) "The implementation costs outweigh the return on investment." D) "It is expected to have explosive growth over the next 5 years."
Which comment by the nurse would best support relationship building with a victim of partner abuse?
a. "You are feeling violated, because you thought you could trust your partner." b. "I'm here for you. I want you to tell me about the bad things that happened to you." c. "I was very worried about you. I knew you were living in a potentially violent situation." d. "Abusers often target people who are passive. I will refer you to an assertiveness class."