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

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

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]

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]

When caring for a patient with a history of asthma, the nurse observes the following assessment data. Which assessment finding takes priority for the nurse to immediately contact the health care provider? Lab value range PaCO2 range: 35-45 mmHg  

A nurse is caring for a client with Chronic obstructive pulmonary disease (COPD). While reviewing breathing exercises, the nurse instructs the client to breathe in slowly through the nose, taking in a normal breath. Then the nurse asks the client to pucker his lips as if preparing to whistle. Finally, the client is told to exhale slowly and gently through the puckered lips. The nurse teaches the client this breathing exercise in order to accomplish which goal?

A client with suspected biliary obstruction due to gallstones reports changes to the color of his stools. Which stool color does the nurse recognize as common to biliary obstruction?

A patient is receiving non-invasive positive pressure ventilation by mask with an IPAP of 16 cm H2O and an EPAP of 8 cm H2O. Corresponding blood gas data is as follows:  pH   7.29     PaCO2 51 mm Hg   PaO2 108 mm Hg   HCO3- 24 mEq/L   BE -0 mEq/L  Which of the following is most appropriate?

A nurse is providing discharge teaching to a client who has a new prescription for prednisone for asthma. Which client statement indicates understanding?

Immediately following oral intubation of an adult male patient, the respiratory therapist notes that the endotracheal tube marking are at 28 cm at the lips. Additionally, chest movement is asymmetrical. The first recommendation of the therapist should be to