A patient is diagnosed with type I hypoxemic failure. The nurse realizes that this type of respiratory failure is linked to:
1. Muscular failure to move the air into and out of the lungs
2. Failure of the neurological system to stimulate respirations
3. Skeletal alterations of the thoracic region that limit air movement
4. Breakdown of oxygen transport from the alveolus to arterial flow
4
Rationale 1: Muscular failure to move the air into and out of the lungs is not linked to type I hypoxemic failure.
Rationale 2: Failure of the neurological system to stimulate respirations is not linked to type I hypoxemic failure.
Rationale 3: Skeletal alterations of the thoracic region that limit air movement is not linked to type I hypoxemic failure.
Rationale 4: Type I hypoxemic failure is linked to a breakdown of oxygen transport from the alveolus to arterial flow.
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Andrea, the charge nurse, spoke to the director of nursing about one of the staff nurses having a crisis. The nurse suggested a crisis intervention group to the staff nurse. Crisis intervention groups are successful because:
A. The crisis intervention worker is a psychologist and understands the presenting behavior patterns. B. They supply a workable solution to the patient's problem. C. The patient is encouraged to share with others about personal problems. D. The patient is assisted to develop new insights and return to the precrisis phase.
You have just completed a skin assessment on Mr. Baker. During your assessment, you have transilluminated a skin lesion. During the physical examination, you know that skin lesions are transilluminated to distinguish:
a. vascular from nonvascular lesions. b. furuncles from folliculitis lesions. c. fluid-filled lesions from solid cysts or masses. d. herpes zoster from varicella.
All of the following are mechanism of action for antidiarrheals except
A. absorbing bacteria and toxins that cause diarrhea. B. coating the walls of the GI tract. C. depressing the action of the villi in the small intestine. D. inhibiting intestinal motility.
A client's son and daughter were killed during a fellow student's murderous rampage at their high school 9 months ago. The client says to the nurse, "My wife and I just feel empty and exhausted. I can't believe that I had a vasectomy after our son and daughter were born because we wanted to give them both whatever they needed. We have college funds for both of them that they'll never use now." The nurse should make which appropriate statement to the client?
A. "My parents would be devastated if they lost me and my sister, too. How can I be of service to you?" B. "Your feelings are appropriate for the extent of your loss and how your children's deaths happened." C. "Your loss touches me so. How truly devastated you both must be. Can you share what things you have been doing to grieve?" D. "Your loss is incalculable. Perhaps you could consider some ways in which to commemorate their lives for you and in your community."