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Author Archives: Anonymous

A client has tested positive for tuberculosis (TB). While pr…

A client has tested positive for tuberculosis (TB). While providing client teaching, which information should the nurse prioritize?

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What is the complication of most concern associated with the…

What is the complication of most concern associated with the use of a self-inflating infant resuscitator with mask?

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Why must the replication portfolio and the futures contract…

Why must the replication portfolio and the futures contract have the same upfront price today?

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A nurse is discussing the clinical manifestations of autoimm…

A nurse is discussing the clinical manifestations of autoimmune diseases. Which signs and symptoms are shared by rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE)?

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A spontaneously breathing patient has the following arterial…

A spontaneously breathing patient has the following arterial blood gas results:  pH   7.38     PaCO2 42 mm Hg   PaO2 76 mm Hg   HCO3- 24 mEq/L   BE 0 mEq/L  Which of the following supplemental oxygen levels is most appropriate?

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Which of the following is NOT a control found on a high freq…

Which of the following is NOT a control found on a high frequency jet ventilator?

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A neonate, delivered 3 minutes ago, has an APGAR score of 5….

A neonate, delivered 3 minutes ago, has an APGAR score of 5. The therapist should do which of the following?

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Hypovolemia would first be manifested in which of the follow…

Hypovolemia would first be manifested in which of the following values?

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A 65-year-old male with a history of chronic obstructive pul…

A 65-year-old male with a history of chronic obstructive pulmonary disease (COPD) is admitted to the medical-surgical unit with respiratory distress.  The patient weighs 144 pounds (lbs) and is allergic to Penicillin (PCN) and aspirin. Day 1 1300:  Admitted to the medical surgical unit from the emergency department with moderate shortness of breath and a productive cough consisting of purulent rust-colored sputum. History of emphysema and chronic bronchitis since age 44 and is former 2 pack-per-day smoker. He quit several years ago but started smoking again approximately six months ago.  He takes fluticasone/salmeterol (Advair Diskus) 250/50mcg, one inhalation every 12 hours and ipratropium metered dose inhaler 2 puffs 4 times/day, as well as a “pill for my high blood pressure, cholesterol, and reflux”. He states that until recently, he has minimized the effects of his disease with his inhalers and proper rest/exercise. He states about a week ago, he “caught a cold” which has worsened in the past three days. He started coughing up rust-colored sputum and running a low-grade fever. Appears weak and frail, noting poor appetite, and feeling too tired to eat. Some mild clubbing was noted in his fingers. States he has been unable to work at his job at the chemical factory for the past few months and is confined to home. He wants to start the pneumococcal vaccine series but has not felt up to leaving the house to go get it.  Vital signs:  Temperature: 101.4 F, Heart Rate: 98, Respiratory Rate: 28, Blood Pressure: 140/72, Pulse oximetry 85% on 2 Liters/minute oxygen.  Labs obtained. Chest X-ray and sputum cultures pending. Day 1 1315: Chest X-ray back (Reveals left lower lobe pneumonia). Provider notified of client status. Increased to 35% O2 via Venturi mask. Sputum cultures were obtained. Labs:  Results Range Potassium 4.1 mEq/L 3.5-5 mEq/L Sodium 142 mEq/L 136-145 mEq/L Glucose 94 mg/dL 75-115 mg/dL WBC 15.2 mm³ 5,000-10,000 mm³ pH 7.32 7.35-7.45 PaCO2 50 mmHg 35-45 mmHg HCO3 24 mEq/L 21-28 mEq/L For each potential nursing or collaborative intervention, specify whether the intervention is Appropriate or Not Appropriate to include in the plan of care. Administer PO cough suppressant [Finding4]Administer IV Methylprednisolone [Finding1] Administer PO Acetaminophen prn for fever [Finding2]Administer oxygen to achieve pulse oximeter readings of at least 95% [Finding3]Administer IV ampicillin [Finding5]Encourage pursed-lip breathing [Finding6]Monitor WBC [Finding7]

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For each potential finding, select whether each is consisten…

For each potential finding, select whether each is consistent with pressure injury, venous stasis ulcer, or both. Make your selection in each dropdown.   Immobility [option1] Inadequate calf muscle function [option2] Located over bony prominence [option3] Surrounding skin brown and edematous [option4]

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