A client in the hyperdynamic phase of septic shock has been admitted to the intensive care unit. What complication should the nurse be alert for as shock progresses from the hyperdy-namic to the hypodynamic phase?

A. Acute respiratory distress syndrome
B. Acute bowel obstruction
C. Ventricular tachycardia
D. Seizure activity


A
As septic shock progresses to the hypodynamic phase, acute respiratory distress syndrome (ARDS), a potentially fatal complication, can develop.

Nursing

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Sarah, who is 2 years old, is having frequent temper tantrums. Her parents are concerned that she is having "mental" problems. The best response is to tell the parents that her behav-ior is

1. definitely abnormal. 2. common for her age group. 3. due to inadequate parenting. 4. a product of sibling jealousy.

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A client with a complete heart block receives a permanent pacemaker. Which of the following discharge instructions should be given by the nurse?

A) "Do not fly on commercial airplanes as long as you have the pacemaker." B) "You will be taught to take your pulse, and should check it daily when you get home." C) "Do not use a microwave to cook your food even if you stand 10 feet from the oven." D) "Do not use your right arm for six weeks to avoid injury to the pacemaker incision."

Nursing

A patient has decided to stop hemodialysis because his renal failure progresses and he wishes to spend more time with family

Palliative care will continue, and the approach will be discussed with the patient and family as needed and at change of shift. The care delivery model in this situation is termed: a. partnership. b. patient-centered. c. case management. d. total patient care.

Nursing

Which of the following interventions would be the most beneficial for the nurse to discuss with the parents of a child who has had repeated admissions for respiratory syncytial virus (RSV) bronchiolitis?

1. Good handwashing technique 2. Nutritional intake 3. Smoking cessation and avoiding all secondhand smoke 4. Encourage physical activity and play

Nursing