This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient develops increasing dyspnea and hypoxemia 2 days after heart surgery. To determine whether ... (Read 45 times)

nmorano1

  • Hero Member
  • *****
  • Posts: 598
on: Jun 25, 2018
A patient develops increasing dyspnea and hypoxemia 2 days after heart surgery. To determine whether the patient has acute respiratory distress syndrome (ARDS) or pulmonary edema caused by heart failure, the nurse will plan to assist with
 
  a. obtaining a ventilation-perfusion scan.
  b. drawing blood for arterial blood gases.
  c. insertion of a pulmonary artery catheter.
  d. positioning the patient for a chest x-ray.

Question 2

A nurse is caring for an obese patient with right lower lobe pneumonia. Which position will be best to improve gas exchange?
 
  a. On the left side
  b. On the right side
  c. In the tripod position
  d. In the high-Fowler's position


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

potomatos

  • Sr. Member
  • ****
  • Posts: 338
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: C
Pulmonary artery wedge pressures are normal in the patient with ARDS because the fluid in the alveoli is caused by increased permeability of the alveolar-capillary membrane rather than by the backup of fluid from the lungs (as occurs in cardiogenic pulmonary edema). The other tests will not help in differentiating cardiogenic from noncardiogenic pulmonary edema.

Answer to Question 2

ANS: A
The patient should be positioned with the good lung in the dependent position to improve the match between ventilation and perfusion. The obese patient's abdomen will limit respiratory excursion when sitting in the high-Fowler's or tripod positions.


nmorano1

  • Member
  • Posts: 598
Reply 2 on: Jun 25, 2018
YES! Correct, THANKS for helping me on my review

brbarasa

  • Member
  • Posts: 308
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Many medications that are used to treat infertility are injected subcutaneously. This is easy to do using the anterior abdomen as the site of injection but avoiding the area directly around the belly button.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Did you know?

You should not take more than 1,000 mg of vitamin E per day. Doses above this amount increase the risk of bleeding problems that can lead to a stroke.

The tone of the nurse-patient introduction sets the stage for the patient interview and patient care The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
A nurse prepares a client for anesthesia and surgery. A nurse prepares a client for anesthesia and surgery.
Heart Sounds Heart Sounds
Symptoms of a patient in shock Symptoms of a patient in shock
Pulmonary Congestion, which May Result from Congestive Heart Failure Pulmonary Congestion, which May Result from Congestive Heart Failure
If P(θ) = (√3 /2, -1/ 2), determine the coordinates of P (θ + 90 °) using the unit circle If P(θ) = (√3 /2, -1/ 2), determine the coordinates of P (θ + 90 °) using the unit circle
Video: Types of synapses - electrical & chemical

For a complete list of videos, visit our video library