The nurse is caring for a patient who is mechanically ventilated. As part of the nursing care, the nurse understands that:
a. communication with intubated patients is often difficult.
b. controlled ventilation is the preferred mode for most patients.
c. patients with chronic obstructive pulmonary disease wean easily from mechanical ventilation.
d. wrist restraints are applied to all patients to avoid self-extubation.
A
Communication difficulties are common because of the artificial airway. Restraints must be determined individually. Patients with chronic obstructive pulmonary disease often have difficulty weaning. Synchronized intermittent mandatory ventilation and assist/control ventilation are the commonly used modes.
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The nurse working with a young woman who is depressed tries to cheer the client by being casual
and humorous. At one point the client smiles. What assessment can be made? a. The nurse has succeeded in reaching the client and is on the way to cheering her. b. The use of distraction and humor can be added to the intervention list in the plan of care. c. The nurse has identified an approach that may prove useful in other, similar situations. d. The nurse needs to seek supervision because the approach described is not acceptable.
Which assessment finding in a patient with a fractured femur would lead the nurse to suspect a fat embolism?
A) Dyspnea and tachypnea B) Unrelieved pain in the fractured leg C) Volkmann contracture D) Edema of the affected leg
The pediatric nurse understands that the definitive diagnosis of cardiomyopathy is confirmed by a(n):
A) sonogram. B) Holter monitor. C) echocardiogram. D) electrocardiogram.
After a patient has an argument with her husband, she becomes verbally abusive to the nurse who is caring for her. Which coping mechanism is this patient exhibiting?
a. Reaction formation b. Displacement c. Denial d. Conversion