The nurse finds a client’s temperature as 102.2°F. What is the client’s temperature in degrees Celsius?  Round your answer to the tenths. 

A term neonate who was intubated due to low APGAR scores and the presence of RDS, has been mechanically ventilated for the past 2 days and vital signs are stable, clear breath sounds and SpO2 97%. The night shift therapist hands you the following ABGs: pH 7.35, PaCO2 36 mmHg, PaO2 93 mmHg, HCO3 23 mEq/L on the following ventilator settings: PI = 22 cmH2O, TI = 0.35, f = 40, flow = 8 L/min, FiO2 = 55% and PEEP = 8 cmH2O. Based on these ABG results, what would you recommend?

What size tracheostomy tube would you select for insertion during a bedside percutaneous trach insertion of an adult male?

Order: Magnesium sulfate 4 g in 100 mL in infuse in 30 minutes.  At what rate will the nurse program the infusion pump? Round your answer to the tenths. 

Mr. Flowers a 65 year old man with COPD who is intubated for acute respiratory failure. He was placed on Volume Control on A/C 14, Vt 500 mL, FiO2 35%, PEEP 5 cmH2O and a flow 60 L/min. ABGs on the vent settings were: pH 7.44, PaCO2 34 torr, PaO2 110 torr, SvO2 0.77 and C(a-v)O2 4.4 vol%. Shortly after intubation he developed hypotension and a BTFDC was inserted at bedside. The following measurements are obtained:PAP:        45/24 mmHgPCWP:     6 mmHgCVP:        1 torrB/P:          90/60 (mean 70)SVR:         930 dynes.sec.cm-5C.O.:          3.8 L/minWhich of the following is the MOST likely cause for his condition?

Order: Dexamethasone 1 mg PO at 0800 and 0.5 mg PO at 1600. Available: Dexamethasone 0.5 mg/5 mL oral solution What volume will the nurse administer for the morning dose? Round your answer to the tenths. 

Order: Metoprolol 6.25 mg PO daily Available: Metoprolol 25 mg tablets The tablets are scored. How many tablets will the nurse administer? Round your answer to the hundredths.

Order: 250 mL of Lactated Ringer’s to infuse in 1 hour.  IV tubing drop factor is 15 gtt/mL. Calculate the gtt/min. Round your answer to the nearest whole number. 

All of the following injuries would be consistent with a diagnosis of flail chest EXCEPT:

Patient-ventilator dyssynchrony, variable pressure readings on the manometer around the baseline PEEP setting, severe tracheal tug and a dipping in the flow/time waveform may be signs of ________.