Answer to Question 1
ANS: A
Pneumothorax is another possible problem that must be detected during positive pressure ventila-tion (PPV) and treated quickly. Pneumothorax can be recognized as increased WOB if a patient is conscious. For example, the patient may demonstrate nasal flaring, use of accessory muscles, uneven chest wall movement, and absence of breath sounds on the affected side. Auscultation and percussion of the chest, cardiovascular assessment, and ventilating pressure evaluations usu-ally can distinguish a pneumothorax from other problems.
Answer to Question 2
ANS: B
The difference between the PIP and Pplateau is consistent throughout the documentation (3 cm H2O). The Pplateau has increased over the course of the 36 hours, from 18 to 38 cm H2O. This in-dicates a decrease in static lung compliance. Causes of this condition include ARDS, pneumonia, pneumothorax, pleural effusions, abdominal distention, and ascites. Bronchospasm, secretion re-tention, and mucosal edema would increase the transairway pressure (PIP Pplateau).
An analogy for how cardiac output, resistance, and blood pressure are related.
Assessing Grip Strength Using a Blood Pressure Cuff
Scheduling patient appointments by telephone.
Algorithm for assessing a patient at risk for self-directed violence.
Life support system of a developing human
Lobes of the brain, with primary receiving and integrating centers of the human cerebral cortex.