You evaluate the room air ABG results
What is your interpretation of the ABGs, and what do you think the physician will order
next, and why?
What will be an ideal response?
The ABGs show an acute respiratory alkalosis with hypoxemia. The physician will probably order a
spiral (or helical) CT scan to evaluate for a pulmonary embolus (PE). This is now the most frequently
used test to diagnose PE. If the patient cannot have the contrast medium that is used for the CT scan,
then the physician will probably order a ventilation/perfusion ( ) scan. If the scan shows a
probable PE, a heparin infusion will be initiated. If the patient cannot tolerate the ventilation portion
of the scan, the physician will probably order a pulmonary arteriogram. A D-dimer blood test
may also be ordered; but other conditions may cause elevation, and many patient with small
pulmonary emboli have normal D-dimer results.
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While working with a young adult client from another culture, the nurse notices that the client consults with her mother before making any decisions. Which of the following nursing actions would be most important at this time?
1. Ask the mother to leave the room so that the client can make her own decisions. 2. Ignore the mother and repeat the questions, looking directly at the client. 3. Begin talking directly to the mother as the decision maker. 4. Recognize that the behavior of the client and her mother might be culturally influenced.
A nurse manager is directing a team of staff nurses working to solve a clinical problem using evidence-based practice (EBP)
Which manager statements would direct these nurses to the forms of strongest clinical evidence? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "We may find studies that use only one group of subjects." 2. "Look for articles that report on how to use evidence in other clinical situations." 3. "The studies we want are built around the scientific approach to solving problems." 4. "Our focus should be on studies that use both experimental and control groups to determine intervention effectiveness." 5. "Many articles will have information reported by someone who is an expert in the field."
Dr. Albert Ellis, who developed the theory of RET, thought that people teach themselves to be ill. He used the following terminology:
A. Musturbation and awareness. B. Awfulizing and musting. C. Musturbation and awfulizing. D. Realizing and supersizing.
The nurse is providing care for a patient with a pneumothorax. She anticipated removal of the chest tube because of the absence of an air leak for the past _____ hours
a. 6 to 8 b. 12 to 16 c. 18 to 24 d. 48 to 72