A 78 year old male arrives at the Emergency Department with an ABG showing pH 7.30, PaCO2 51, and HCO3 24. He is likely having a COPD exacerbation. How would the nurse interpret these results? 

When treating a patient for pain, you see an order for a low dose of morphine. What is wrong with this order?    For patient Jim Halpert: Give IV morphine 0.5-1 mg as needed, for moderate to severe pain. 

A nurse is educating a patient about lung cancer screening. According to current recommendations, which patient would be recommended for annual low-dose CT screening for lung cancer?

A patient with a lung mass found on chest x-ray is undergoing further testing. The nurse explains that a definitive diagnosis of lung cancer would need to be confirmed using which diagnostic test? 

Select the drugs listed below that are unique to the treatment of cardiogenic shock, which are not used in treating other types of shock. (select all that apply)

A patient arrives on the medical-surgical unit after an open partial hepatectomy and total splenectomy. Her vitals are: BP 118/77, HR 70, T 98.2F (oral), RR 14. An hour later, her vitals are: BP 100/50, HR 89, T 97.1F (oral), RR 19. She is sleeping restfully with good pain control. The next hour, her skin is cool, clammy, and pale and her vitals are: BP 80/41, HR 122, T 96.6F (oral), RR 28.  The nurse recognizes this patient is deteriorating. What type of shock is this patient experiencing?

A 36-year-old female arrives at the hospital after three days of vomiting, displaying signs of dehydration. ABG values are pH 7.46, PaCO2 50, HCO3 33, SaO2 95%. How should the nurse interpret these lab values? 

Progressive tissue hypoxia leading to anaerobic metabolism and metabolic acidosis is characteristic of the progressive stage of shock. What changes in the heart contribute to tissue hypoxia? 

What lung infection has a characteristic “whoop”ing sound with inhalation, especially for young children?

Going home with a strict and prolonged drug treatment for a new diagnosis of tuberculosis (TB), the patient discharging appreciates written pamphlets explaining the two drugs they’ll take during the second stage of their drug treatment lasting 4 months. Which two drugs are prescribed to treat an active TB infection?