A patient in the ICU failed long-term ventilation weaning via CPAP trials. What is the next intervention that should take place?
A) The T-piece trial should be performed.
B) The patient should be switched to SIMV method.
C) The patient should be rested on the ventilator for 24 hours.
D) The patient should be switched to the SIMV plus PSV method.
C
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A client with a history of cardiac problems is brought to the emergency room by the paramedics with a tentative diagnosis of myocardial infarction (MI, or "heart attack")
The paramedic tells the nurse that the client had pain in the jaw area that was not relieved with nitroglycerin. The client asks the nurse how jaw pain is related to having a "heart attack." The nurse's best explanation is: 1. "The doctors would rather treat you as a cardiac client until they find out why the nitroglycerin did not work." 2. "Sometimes cardiac pain is not just in your chest, but in your jaws, arms or back." 3. "You may have been so stressed that you clenched your jaws and not realized if you had any chest pain or not." 4. "It may not be related, but cardiac pain is so serious to investigate and treat."
The ambulatory care nurse makes a follow-up telephone call to the mother of a child who underwent a myringotomy with insertion of tympanostomy tubes on the previous day
The mother of the child tells the nurse that the child is complaining of discomfort. The nurse would instruct the mother to: 1. Call the physician immediately. 2. Give the child acetaminophen (Tylenol) for the discomfort. 3. Give the child children's aspirin, and call the physician if it does not help. 4. Call the local pharmacist regarding a stronger over-the-counter analgesic.
A client has continual problematic relationships and rejects others before possibly being rejected. The client states, "I am afraid of failing in my job responsibilities." Which correctly written nursing diagnosis should be prioritized for this client?
A. Poor self-esteem R/T negative self-image AEB fear of failure B. Altered thought processes R/T anxiety AEB delusions C. Role confusion R/T rejection and poor job productivity D. High risk for violence: self-directed R/T rejection of others
A diabetic client is admitted to a healthcare facility for diarrhea, nausea, vomiting, and
altered mental status. The arterial blood gas (ABG) report of the client shows decreased pH and decreased HCO3–. What immediate action should the nurse take? A) Give a bicarbonate infusion B) Give Ringer's solution C) Notify the physician D) Apply a re-breathing mask