At 2100, J.O.'s guard summons you to his room. J.O. is pale, slightly confused, and complaining of chest
pain and dyspnea. Vital signs are 90/60, 120, 28, 100.0° F (37.8° C), and Spo2 of 84%.
His pulse is weak and
thready and there are petechiae on his chest.
What do you immediately expect is occurring and why?
You immediately suspect a fat embolism because he displays a number of classic symptoms
including confusion, chest pain, tachypnea, tachycardia, dyspnea, and hypoxemia. Patients with a fat
embolism often have petechiae, especially in the buccal membranes, conjunctival sacs, hard palate,
chest, and anterior axillary folds.
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The physician orders 1,500 mL lactated Ringer solution to be infused at 45 gtt/min. The administration set delivers 15 gtt/mL. How long will it take to infuse the IV? _______________
a. 8 hr and 30 min b. 12 hr c. 6 hr and 10 min d. 8 hr and 20 min
A nurse researcher is evaluating a revised self-esteem questionnaire to determine whether all of the items on the questionnaire actually effectively measure self-esteem. Which aspect of reliability is she evaluating?
A) Equivalence B) Validity C) Stability D) Internal consistency
Overstimulation may cause increased oxygen use in a preterm infant. Which nursing intervention helps to avoid this problem?
a. Group all care activities together to provide long periods of rest. b. While giving your report to the next nurse, stand in front of the incubator and talk softly about how the infant responds to stimulation. c. Teach the parents signs of overstimulation, such as turning the face away or stiffening and extending the extremities and fingers. d. Keep charts on top of the incubator so the nurses can write on them there.
A nurse manager has decided that she must institute some personal time management steps to survive work and home life. Her first step should be to:
a. Determine what takes up so much of her time and energy. b. Organize her personal and work spaces. c. Purchase a handheld personal digital assistant to help remind her of important meetings. d. Determine her personal and professional goals.