You are the nurse caring for a patient who had been admitted…
You are the nurse caring for a patient who had been admitted to the ICU for heart failure. The health care provider has placed a pulmonary artery catheter and arterial line in order to be able to assess hemodynamics. The nurse notes that the patient’s arterial line waveform has become overdampened. The nurse should:
Read DetailsThe nurse thinks that the post op cardiac surgery patient ha…
The nurse thinks that the post op cardiac surgery patient has developed pulmonary edema. The physician does not want the pulmonary artery balloon inflated to determine pulmonary artery occlusion pressures (wedge pressures). Which is the best pulmonary artery catheter pressure reading that the nurse could utilize as part of an overall physical assessment that may indicate left sided heart failure?
Read DetailsA client is in the critical care unit. She is currently rece…
A client is in the critical care unit. She is currently receiving oxygen at 2 L/min by nasal cannula; nitroglycerin paste 1 inch to the chest wall, and metoprolol 25 mg orally every 12 hours. The monitor shows that the client has started having PVCs. Over the course of the next several hours, the premature ventricular contractions (PVC) increase in frequency to more than 15 per minute, with occasional burst of multifocal bigeminal PVCs. The client’s vital signs are heart rate, 84 beats/min, sinus rhythm, with described PVCs; blood pressure, 124/68 mm Hg; respirations, 20 breaths/min; SpO2, 90%. Laboratory values are blood pH, 7.44; potassium, 4.6 mEq/L; and magnesium 0.9 mEq/L. Which of the following, if ordered, would be inappropriate for this client?
Read DetailsImagine a person with a Staph infection. Innate immune cells…
Imagine a person with a Staph infection. Innate immune cells are recruited and recognize peptidoglycan via immune cell surface receptors. In this scenario, peptidoglycan can be called a __________________ and the innate immune cell receptors can be called a _______________________
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