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The next two questions are in regards to the following scenario  D.V., 42-years-old, has a history of human immunodeficiency virus (HIV) infection with the development of manifes-tations of acquired immunodeficiency syndrome (AIDS) 2 years ago. He has been hospitalized and treated twice for Pneumocystis jiroveci pneumonia and is now admitted to ICU with suspected cryptococcal meningitis. ET intubation with assist-control mechanical ventilation at 12 breaths/min, 15 cm H2O PEEP, and FiO2 of 50% is established. Subjective Data A friend reports that D.V. had 2 generalized tonic-clonic seizures in the 2 hours before admission Objective Data Glasgow Coma Scale (GCS) score: 6 Weight 65.9 kg, height 6 ft 1 in Vital signs: temp 102.2°F (39°C), HR 80 beats/min, RR 26 breaths/min, BP 100/46 mm Hg ABGs: pH 7.26, PaCO2 32 mm Hg, PaO2 65 mm Hg, HCO3 16 mEq/L, SaO2 92% Other laboratory tests: glucose 228 mg/dL (12.6 mmol/L), lactate 3 mEq/L (3 mmol/L), white blood cells (WBCs) 18,500/μL Skin warm and dry Indwelling urinary catheter inserted with 30 mL returned   33. What effects of PEEP would the nurse expect? (Select all that apply)

44.  The nurse finds it necessary to assess for a possible leak in a chest tube system.  When checking, the nurse clamps the chest tube closest to the client’s dressing, the bubbling stops. What is your interpretation of this finding?

54.  A client with a suspected pulmonary embolus is brought to the emergency department.  He complains of shortness of breath and pleuritic chest pain.  Which other clinical findings would support this diagnosis? 

38.  The nurse is providing education about CPAP.  Which purpose below would be the most accurate to discuss with the client and the family?   

21. The nurse responds to a ventilator alarm and finds the patient lying in bed gasping and holding the endotracheal tube (ET) in her hand. Which action should the nurse take next?

9. A nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by the respiratory syncytial virus (RSV). Choose the interventions that would be included in the plan of care. (Select all that apply.)

24.  A client who sustained a head injury is intubated and receiving volume-cycled mechanical ventilation. The nurse knows which of the following is true about assist-control (AC) ventilation? Select all that apply

11. The nurse is assigned a group of pediatric clients. After receiving shift report, which client should the nurse assess first?  

23. A client’s ventilator is alarming. The nurse sees apnea on the alarm screen. Which intervention should the nurse implement first?

A 12-year-old child diagnosed with Conduct Disorder, has been the neighborhood bully for several years. The parents say, “We can’t believe anything our child says.” Recently, the child shot a dog with a pellet gun and set fire to a trash bin outside a store. When developing a plan of care, what should the Psychiatric Technician remember about the underlying issues in children with Conduct Disorder?