GradePack

    • Home
    • Blog
Skip to content
bg
bg
bg
bg

Author Archives: Anonymous

Five unknown compounds are added to water. Four of the compo…

Five unknown compounds are added to water. Four of the compounds go into solution while one does not. What property does water possess that allows these four compounds to dissolve? Why might the fifth compound not dissolve?

Read Details

The portion of an amino acid that makes the amino acid uniqu…

The portion of an amino acid that makes the amino acid unique among the 20 different amino acids is

Read Details

Our species is called Homo sapiens. The first word refers to…

Our species is called Homo sapiens. The first word refers to which taxonomical grouping?

Read Details

Postoperative Day 1• The patient’s lung function continues t…

Postoperative Day 1• The patient’s lung function continues to worsen ventilator settings include 100% FIO2 and high levels of PEEP.• The patient has developed acute renal failure• There is an advance directive in the patient’s record indicating that this patient does not want to be kept alive by artificial means.Subjective Data• Patient is unable to communicate.• Family is at the bedside and voicing concerns and questions regarding the patient’s progress.Objective DataPhysical Examination• General: Head of bed elevated 45 degrees; skin cool with moderate diaphoresis• Respiratory: Endotracheal tube in place with mechanical ventilation. No accessory muscle use, retractions, or paradoxic breathing; respiratory rate 28 breaths/min; SpO2 92%, bilateral crackles at lung bases. Ventilator settings: A/C – Tidal Volume 450/mL, FIO2 100%, Respiratory Rate 10/minute, PEEP 10/cm H2O, pressure limit 35cm H2O.• Cardiovascular: Apical-radial pulse equal, BP 100/60mmHg• Weak peripheral pulses; temperature 101° F (38.3° C) rectally• Gastrointestinal: Surgical dressing dry and intact; colostomy draining serosanguineous drainage• Urologic: Indwelling bladder catheter draining concentrated urine less than 30mL/hrDiagnostic Findings• ABGs obtained 4 hours following intubation: pH 7.15, PaO2 59mmHg, PaCO2 57mmHg, HCO3 16mEq/L, O2 saturation 86%.• Chest x-ray: new bilateral, scattered interstitial infiltrates compatible with an ARDS pattern as interpreted by the radiologistWhich assessment finding obtained by the nurse indicates the need for suctioning?

Read Details

To verify the correct placement of an oral endotracheal tube…

To verify the correct placement of an oral endotracheal tube after insertion, which actions by the nurse are appropriate? (Select all that apply)

Read Details

While family members are visiting, a patient has a respirato…

While family members are visiting, a patient has a respiratory arrest and is being resuscitated. Which action by the nurse is best?

Read Details

Which actions should the nurse initiate to reduce the risk f…

Which actions should the nurse initiate to reduce the risk for ventilator-associated pneumonia? (Select all that apply)

Read Details

Postoperative Day 2• There is an advance directive in the pa…

Postoperative Day 2• There is an advance directive in the patient’s record indicating that this patient does not want to be kept alive by artificial means.The patient remains in acute renal failure.Subjective Data• Patient is unable to communicate.Objective DataPatient was medicated with a 10mg bolus of morphine due to restlessness.Physical Examination• General: Sedated, head of bed elevated 45 degrees; skin cool with moderate diaphoresis• Respiratory: Endotracheal tube in place with mechanical ventilation. No accessory muscle use, retractions, or paradoxic breathing; respiratory rate in phase with ventilator, bilateral crackles at lung bases. Ventilator settings: A/C – Tidal Volume 450/mL, FIO2 100%, Respiratory Rate 10/minute, PEEP 10/cm H2O, pressure limit 35cm H2O.• Cardiovascular: Apical-radial pulse equal, BP 100/60mmHg• Weak peripheral pulses; temperature 101° F (38.3° C) rectally• Gastrointestinal: Surgical dressing dry and intact; colostomy draining serosanguineous drainage• Urologic: Indwelling bladder catheter draining concentrated urine less than 30mL/hrDiagnostic Findings• Arterial blood gas results include a pH of 7.20, PaO2 of 88 mm Hg, PaCO2 of 60 mm Hg, and HCO3– of 18 mEq/L. What changes to the ventilator settings will the nurse anticipate?

Read Details

Which nursing interventions should be included for the patie…

Which nursing interventions should be included for the patient who has full thickness and deep partial thickness burns to 50% of their body who is receiving hydrotherapy for debridment and open method of wound care? (Select all that apply)

Read Details

While caring for this mechanically ventilated patient the hi…

While caring for this mechanically ventilated patient the high pressure alarm begins to alert. Which is the nurse’s priority intervention?

Read Details

Posts pagination

Newer posts 1 … 48,710 48,711 48,712 48,713 48,714 … 73,690 Older posts

GradePack

  • Privacy Policy
  • Terms of Service
Top