You receive a referral for Baby Boomer in the ICU who is 6 weeks premature and has a diagnosis of Idiopathic Respiratory Distress Syndrome (Hyaline Membrane Disease). Which of the following would you expect to find? decreased tidal volume high V/Q ratio increased vital capacity increased lung compliance
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You receive a referral for Baby Boomer in the ICU who is 6 weeks premature and has a diagnosis of Idiopathic Respiratory Distress Syndrome (Hyaline Membrane Disease). Which of the following would you expect to find?
decreased tidal volume
high V/Q ratio
increased vital capacity
increased lung compliance
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- A nurse is caring for a client who presented to the emergency department with an acute asthma exacerbation. The respiratory rate is 36 breaths/min, and a pulse oximeter is 85% on room air with accessory muscle use to breathe. The nurse placed the client on oxygen 4 liters nasal cannula. The arterial blood gas (ABG) is as follows: pH: 7.28, PaCO2: 50 mm Hg, PaO2: 75 mm Hg, and HCO3: 26 mEq/L. Which of the following treatments is the nurse's highest priority? A) Administer bronchodilators B) Administer sodium bicarbonate Administer methylprednisolone (D) Perform a chest x-rayWhich of the following would the nurse expect to see in client experiencing hypoventilation? increased oxygenation in the alveoli increased carbon dioxide in the bloodstream decreased hemoglobin in the bloodstream decreased carbon dioxide in the alveoliPatient has CAD, Acute respiratory failure, stroke, and altered mental status...weakness in RUE and unable to RASS (Las; : 0-Alert and Calm respond to questions. Upon presentation CAM Score(Last) : to the ED the patient was found to have V-tach, CBGs >1000 and was intubated Vital Sign for airway protection, admitted for AHRF PLEASE HELP WITH CARE PLAN
- A 67yo male is admitted to the unit with a dx of CHF. Pt states, “I get short of breath before I’m able to make it up one flight of stairs to my room.” He also reports having to take frequent breaks while doing everyday activities. During your assessment you observe his skin to be pale pink, with swelling in his hand and feet. You also notice pt leaning forward in the bed to breathe with labored breath sounds.A 60-year-old male with a known history of chronic obstructive pulmonary disease (COPD) presents to the ED with increased shortness of breath, productive cough, and wheezing. His vital signs are: BP 150/90 mmHg, HR 110 bpm, RR 26 breaths/min, SpO2 88% on room air. What is the first-line nursing management? The first-line nursing management for a COPD exacerbation is to administer ________.Mrs Alensi returned to the ward 1 hour ago following a Left sided total knee replacement. She has a morphine infusion running at 1mg/hour for pain relief. 30 minutes ago, her BP was 115/75 and her respirations were 16. You have just checked again and now her BP is 85/55 and her respirations are 10. Describe what actions you would take and medications you anticipate administering and provide rationale.
- A nurse on a medical-surgical unit is caring for a client who is postoperative following an emergency appendectomy. Exhibit 1 Vital Signs Temperature 37.7° C(99.8°F) . Heart rate 82/min . Respiratory rate 16/min . Blood pressure 127/80 mm Hg . Oxygen saturation 99% on room air Exhibit 2 Assessment Height 157.5 cm (62 in) Weight 90 kg(198 lb) Bilateral lower extremities warm to touch, pedal pulses 2+ bilaterally. Spider veins noted on bilateral lower extremities. Distended veins noted on right lower extremity. Exhibit 3 Nurses' Notes Client reports pain at abdominal incision site as 4 on a 0 to 10 scale. Client also reports right lower extremity pain as 5 on a 0 to 10 scale, and itching. Reports that right lower extremity pain has been intermittent for about the last 2 months. Denies current left lower extremity pain.A young woman is brought to the emergency department by ambulance after a severe motor vehicle accident. She is unconscious. Her blood pressure is 64/40 mm Hg; heart rate is 150 bpm. She is intubated and is being hand-ventilated. There is no evidence of head trauma. The pupils are 2 mm and reactive. She withdraws to pain. Cardiac examination reveals no murmurs, gallops, or rubs. The lungs are clear to auscultation. The abdomen is tense, with decreased bowel sounds. The extremities are cool and clammy, with thready pulses. Despite aggressive blood and fluid resuscitation, the patient dies. Questions A. What are the four major pathophysiologic causes of shock? Which was likely in this patient? B. What pathogenetic mechanism accounts for this patient’s unresponsiveness? For the cool, pale extremities? C. What forms of hypovolemic shock may have been present in this patient? Why?A young woman is brought to the emergency department by ambulance after a severe motor vehicle accident. She is unconscious. Her blood pressure is 64/40 mm Hg; heart rate is 150 bpm. She is intubated and is being hand-ventilated. There is no evidence of head trauma. The pupils are 2 mm and reactive. She withdraws to pain. Cardiac examination reveals no murmurs, gallops, or rubs. The lungs are clear to auscultation. The abdomen is tense, with decreased bowel sounds. The extremities are cool and clammy, with thready pulses. Despite aggressive blood and fluid resuscitation, the patient dies. Questions A. What are the four major pathophysiologic causes of shock? Which was likely in this patient? B. What pathogenetic mechanism accounts for this patient’s unresponsiveness? For the cool, paleextremities? C. What forms of hypovolemic shock may have been present in this patient? Why?
- A young woman is brought to the emergency department by ambulance after a severe motor vehicle accident. She is unconscious. Her blood pressure is 64/40 mm Hg; heart rate is 150 bpm. She is intubated and is being hand-ventilated. There is no evidence of head trauma. The pupils are 2 mm and reactive. She withdraws to pain. Cardiac examination reveals no murmurs, gallops, or rubs. The lungs are clear to auscultation. The abdomen is tense, with decreased bowel sounds. The extremities are cool and clammy, with thready pulses. Despite aggressive blood and fluid resuscitation, the patient dies. Questions B. What pathogenetic mechanism accounts for this patient’s unresponsiveness? For the cool, pale extremities? C. What forms of hypovolemic shock may have been present in this patient? Why?on 23 May ●●● aut.au1.qualtrics.com Incorrect For which of the following conditions would you immediately Dial 111? (tick all that apply) Unconscious, unresponsive person Shock Surface burns smaller than 1cm Asthma attack, improving with inhaler Arterial Bleeding Head injury - person is drowsy and confused StrokeWhich of the following symptoms demonstrate increased work of breathing? Grunting Nasal flaring Use of accessory thoracic muscles All of the above The type of shock associated with inadequate tissue perfusion resulting from myocardial dysfunction is: Obstructive shock Distributive shock Hypovolemic shock Cardiogenic shock The acute treatment of shock consists of all of the following EXCEPT: Starting therapeutic hypothermia Optimizing oxygen content of the blood Improving volume and distribution of cardiac output Correcting metabolic imbalances