Three days post motor vehicle crash, the nurse noticed the patient’s chest tube drainage changed from serous fluid to milky white. The nurse suspects the patient may have had which of the following occur?

A male client has been admitted with chest trauma after a motor vehicle accident and has undergone subsequent intubation. A nurse checks the client when the high-pressure alarm on the ventilator sounds, and notes that the client has absence of breath sounds in right upper lobe of the lung. The nurse immediately assesses for other signs of which of the following:

The nurse cares for a 78-year-old female admitted to the medical intensive care unit in respiratory distress. Nurses’ Notes   0900. Client was admitted to the ICU in respiratory distress after minimal response to high flow oxygen for a pulse oximeter reading of 83% in room air. Crackles heard bilaterally in lower lobes with diminished breath sounds in right middle lobe; S1S2 auscultated; bowel sounds positive in all 4 quadrants; skin warm dry and intact. VS T 99.8F(37.7C); HR 110; RR 30 bpm; B/P 168/90; pulse oximeter is 87% on 100% non-rebreather; pain-0/10. Laboratory Report Lab Results Reference range ABG pH 7.2 7.35-7.45 ABG P02 65 mm Hg 75-100 mm Hg ABG PC02 51 mm Hg 35-45 mmHg ABG HC03 28 mEq/L 22-26 mEq/L WBC 5,600 cells/mm3 4.5 – 10.5 x 103 cells/mm3 Platelets 250,000/ mm3 140,000 to 450,000/ mm3 Potassium(serum) 4.0 mEq/L 3.5 to 5 mEq/L Sodium (serum) 140 mEq/L 135 to 145 mEq/L Magnesium 1.5 mEq/L 1.5 to 2.1 mEq/L Lactate level 4.5 mEq/L 0.5 to 2.2 mEq/L Blood culture Gram negative cocci Negative Urine culture pending Negative Sputum culture pending Negative What does the nurse determine is the priority for this client’s care?

A patient in acute respiratory failure is receiving ACV with a positive end-expiratory pressure (PEEP) of 10 cm H20. What sign alerts the nurse to undesirable effects of increased airway and thoracic pressure?

The nurse cares for a 78-year-old female admitted to the medical intensive care unit in respiratory distress. Nurses’ Notes   0900. Client was admitted to the ICU in respiratory distress after minimal response to high flow oxygen for a pulse oximeter reading of 83% in room air. Crackles heard bilaterally in lower lobes with diminished breath sounds in right middle lobe; S1S2 auscultated; bowel sounds positive in all 4 quadrants; skin warm dry and intact. VS T 99.8F(37.7C); HR 110; RR 30 bpm; B/P 168/90; pulse oximeter is 87% on 100% non-rebreather; pain-0/10. 0930. Client was intubated with #6 endotracheal tube and was placed on assist control mechanical ventilation, rate 14, Peep 5 mmHg, FIO2 60%. VS T 99.8F(37.7C); HR 110; RR 14; B/P 180/90; pulse oximeter is 96%. Client is restless. Laboratory Report Lab Results Reference range ABG pH 7.2 7.35-7.45 ABG P02 65 mm Hg 75-100 mm Hg ABG PC02 51 mm Hg 35-45 mmHg ABG HC03 28 mEq/L 22-26 mEq/L WBC 5,600 cells/mm3 4.5 – 10.5 x 103 cells/mm3 Platelets 250,000/ mm3 140,000 to 450,000/ mm3 Potassium(serum) 4.0 mEq/L 3.5 to 5 mEq/L Sodium (serum) 140 mEq/L 135 to 145 mEq/L Magnesium 1.5 mEq/L 1.5 to 2.1 mEq/L Lactate level 4.5 mEq/L 0.5 to 2.2 mEq/L Blood culture Gram negative cocci Negative Urine culture pending Negative Sputum culture pending Negative   The nurse plans care for the client after beginning mechanical ventilation. Which of the following would also be included in the patient’s care plan? Select all that apply

Assisted Control Ventilation is best for which patient?

The low-exhaled volume alarm sounds on a mechanical ventilator of a client with an endotracheal tube. The nurse determines that the cause for alarm activation may be which complication?

The nurse cares for a 78-year-old female admitted to the medical intensive care unit in respiratory distress. Nurses’ Notes   0900. Client was admitted to the ICU in respiratory distress after minimal response to high flow oxygen for a pulse oximeter reading of 83% in room air. Crackles heard bilaterally in lower lobes with diminished breath sounds in right middle lobe; S1S2 auscultated; bowel sounds positive in all 4 quadrants; skin warm dry and intact. VS T 99.8F(37.7C); HR 110; RR 30 bpm; B/P 168/90; pulse oximeter is 87% on 100% non-rebreather; pain-0/10. Laboratory Report Lab Results Reference range ABG pH 7.2 7.35-7.45 ABG P02 65 mm Hg 75-100 mm Hg ABG PC02 51 mm Hg 35-45 mmHg ABG HC03 28 mEq/L 22-26 mEq/L WBC 5,600 cells/mm3 4.5 – 10.5 x 103 cells/mm3 Platelets 250,000/ mm3 140,000 to 450,000/ mm3 Potassium(serum) 4.0 mEq/L 3.5 to 5 mEq/L Sodium (serum) 140 mEq/L 135 to 145 mEq/L Magnesium 1.5 mEq/L 1.5 to 2.1 mEq/L Lactate level 4.5 mEq/L 0.5 to 2.2 mEq/L Blood culture Gram Positive cocci negative Urine culture pending negative Sputum culture pending negative Which of the following symptoms would also indicate the diagnosis of ARDS? Select all that apply

The nurse is caring for a patient who was just placed on mechanical ventilation and is observing the patient’s vital signs because positive-pressure ventilation can lead to: Select all that apply.

Choose one of the following questions to answer. Your answer should be a minimum of 3 paragraphs. However, you can use more space if needed. Support your writing with evidence.    Aaron Douglas, Aspects of Negro Life: From Slavery through Reconstruction, found in Debra J. Dewitte, Ralph M. Larrman, M. Kathryn Shields, Gateways to Art: Understanding the Visual Arts, (London: Thames & Hudson, 2023), 514. Artists sometimes use symbolism and elements of art, such as color, to create meaning within a work of art. What symbolism? What elements do you see being used here in this work to express his message? What is the message he is trying to convey? Artemisia Gentileschi, Judith Decapitating Holofernes, found in Debra J. Dewitte, Ralph M. Larrman, M. Kathryn Shields, Gateways to Art: Understanding the Visual Arts, (London: Thames & Hudson, 2023), 649. It is said that Artemisia Gentileschi uses identity and self-expression in her painting of Judith Decapitating Holofernes; what was she expressing? Is this painting metaphorical? How does she use compositional space to achieve this?   Andy Goldsworthy, Japanese Maple, found in Debra J. Dewitte, Ralph M. Larrman, M. Kathryn Shields, Gateways to Art: Understanding the Visual Arts, (London: Thames & Hudson, 2018), 525 . How does Andy Goldsworthy’s use of color, texture, time, space, and location influence his work? How is he using these components to express a specific theme? Are both the installation and the photograph considered an essential part of the finished artwork? Bull Leapers from Palace of Knossos, found in Debra J. Dewitte, Ralph M. Larrman, M. Kathryn Shields, Gateways to Art: Understanding the Visual Arts, (London: Thames & Hudson, 2023), 351. What can the Bull Leapers of Knossos tell us about the culture and society of the Minoans? What specific aspects of this fresco support your statements? Constantin Brancusi, Bird in Space, found in Debra J. Dewitte, Ralph M. Larrman, M. Kathryn Shields, Gateways to Art: Understanding the Visual Arts, (London: Thames & Hudson, 2023), 512. How does Constantin Brancusi’s Bird in Space push the boundaries of what is considered art? Is the title necessary to understand this piece?     Hon ‘ami Koetsu, Mount Fuji Tea Bowl, Sakai Collection, found in Debra J. Dewitte, Ralph M. Larrman, M. Kathryn Shields, Gateways to Art: Understanding the Visual Arts, (London: Thames & Hudson, 2023), 21. 6. How does this teabowl entitled Mount Fuji by Hon’ami Koetsu show how an artist might use beliefs and cultural practices to connect their audience to a greater sense of being?