a nurse is preparing to perform endotracheal (et) tube care and plans to use tape to secure the tube. to increase the turbulence of the air the patient exhales, the nurse should use which of the following techniques? a nurse is preparing to suction secretions from the mouth of a pt who has dysphagia.
in line suctioning a nurse is caring for a pt who sustained trauma to his head and neck and will require long-term airway support. nasopharyngeal airwayoropharyngeal airwayendotracheal tubetracheostomy tube a nurse is caring for a pt who has a cuffed endotracheal tube in place. repositioning the et tube in the pt’s mouth every 12 hrproviding oral every 24hrsapplying the securing tape over the pt’s earsmaintaining a cuff pressure of 30mm hg during trach care, which of the following should the nurse place underneath the flanges of the outer cannula? when using this method, it is appropriate for the nurse to hyperoxygenate the pt before disconnecting the ventilatorapply suction pressure while advancing the catheterwear a face shield during the procedurereuse the catheter repeatedly a nurse is caring for a pt who has a tracheostomy tube with an inner cannula in place.
a nurse who organizes and establishes a political action committee (pac) in their local community to address issues relating to the accessibility and affordability of healthcare resources in the community is serving as the client advocate. lastly, the role of the circulating nurse is within the exclusive scope of practice for the registered nurse and the role of the first assistant is assumed only by a registered nurse with the advanced training and education necessary to perform competently in this capacity. an explicit consent, on the other hand, is the direct and formal consent of the client; and an opt out consent is given when a patient does not refuse a treatment; this lack of objections by the patient indicates that the person has consented to the treatment or procedure with an opt out consent. the member of the multidisciplinary team that you would most likely collaborate with when the client is at risk for falls due to an impaired gait is a physical therapist. avoidance of the conflict, withdrawing in addition to other passivity, competition, and accommodating others are not effective and healthy conflict resolution techniques. lastly, medical necessity is necessary for reimbursement and it is one of the considerations for moving the client from one level of acuity to another but medical necessity is not the continuity of care. ethics is a set of beliefs and principles that guide us in terms of the right and wrong thing to do which is the most similar to ethics. respondeat superior is the legal doctrine or principle that states that employers are legally responsible for the acts and behaviors of its employees. the current focus of performance improvement activities is to facilitate and address optimal client outcomes. the first thing to do when using a fire extinguisher is to pull the pin and then aim it at the base of the fire. the best and safest way to transfer this paralyzed client when you suspect that you will need the help of another for the client’s first transfer out of bed is to use a mechanical lift. the lack of necessary supplies and equipment to adequately and safely care for patients is an example of a system variance. a possible vulnerability of the facility’s information technology to hacking, vulnerability to computer hacking and potential information theft is security concerns but they are not sentinel events that must be reported. you should explain that fetal station is the level of the fetus’ presenting part in relationship to the mother’s ischial spines. the need for a targeted assessment is based on the application of the nurse’s knowledge of pathophysiology and the presenting symptoms. scientific data now indicates that prayer is effective for the relief of stress, anxiety and pain, and as such, may be helpful to this client. although a complete medical history is done using a client interview and a significant other interview for much data, it is the health history and not the interview that is part of the comprehensive health assessment.
a client is using reaction formation when the client acts and behaves in a manner that is completely the polar opposite of their true feelings. based on this client’s signs and symptoms and the fact that the client is expected to die in a day or two, the appropriate client outcome for this client is that the client will remain free of pain and distress. the lack of financial and health insurance resources to pay for psychological care, the lack of social support systems, and the client’s apathy are barriers to psychological care but these factors are not a barrier to a psychological assessment and these factors are not cultural, but instead social and psychological. the goal of this environment is to facilitate the client’s coping and recovery without the need to cope with these extraneous and avoidable stressors. some canes like a wooden cane are not adjustable to the client’s height and others can be adjusted to meet the height needs of the client. the treatment of pressure ulcers is complex and it often includes a combination of treatments and therapies. the age group that is accurately paired with the normal and recommended hours of sleep each day is the toddler should sleep about 11 to 14 hours per day. the medication reconciliation process to insure that the nurse is aware of all medications that the client is taking, some of which may have been ordered by a physician other than the client’s primary care doctor and some of which are over the counter or alternative therapies that the client has added. the first step of this calculation is to calculate the number of mls, or cc s, per hour and then determine the number of drops per minute. lastly, the pqrst method is used to assess pain and not used as a guideline for medication administration. lastly, clients are at risk for infection secondary to tpn because these solutions are high in dextrose and because tpn is an invasive sterile procedure; and clients are at high risk for hyperglycemia when they are getting tpn because these solutions are high in dextrose and not because the client is already a diabetic client. you would report a total cholesterol level of 6.5 mmol/l because this value exceeds the high normal for total cholesterol which is 5.5 mmol/l and the normal range is from 3 to 5.5 mmol/l. the first thing that you should do when you insert the suction catheter and you reach a point of resistance is to deflate the cuff when it is inflated and the second thing that you should do is to remove the inner cannula and suction out the mucous plug. special radiation precautions are initiated when a client is receiving brachytherapy in order to protect visitors and health care staff from the harmful effects of the radiation. you should explain that superior vena cava syndrome is pressure on the vena cava which is a major vein, not an artery, in the body that carries blood from the systemic circulation to the right atrium of the heart. natural active immunity occurs when the body produces antibodies after the client is infected with a pathogen; and artificial active immunity occurs when the body produces antibodies to an immunization vaccine such as those for pneumonia and a wide variety of childhood infectious diseases. maternal trauma, lacerations, pelvic floor damage, bleeding and an inadvertent extension of the episiotomy to the anus when a forceps delivery of a new born is done.
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