Immediately after moving the oral endotracheal airway to the other side of the client's mouth, which action by the nurse is the priority?
1. Providing oral care
2. Suctioning the airway
3. Checking for correct tube placement
4. Checking tube cuff inflation
Correct Answer: 3
Because of the risk of tube dislocation, as soon as the tube is repositioned, the nurse should assess proper placement. Only after assuring the tube is properly placed would the nurse perform the other actions as indicated.
You might also like to view...
The nurse determines that an older adult who has chronic bronchitis is at high risk for falls, but he repeatedly tries to ambulate without assistance. Which alternative measure to restraints is contraindicated for this older adult?
a. Inform staff about his risk for falls. b. Place a concave mattress on the bed. c. Provide frequent walks in the hallway. d. Help him learn to use an assistive device.
A nurse identifies that a client lacks motivation and wants to explore ways to improve the client's ability to engage in learning
Which of the following motivational strategies best indicates a meaningful relationship has taken place between the client and the nurse? A) The teacher assumes and expects that the student can learn. B) The teacher is sensitive to the student's individual needs. C) Both the student and the teacher trust and respect each other. D) Both the student and the teacher feel free to learn and make mistakes.
Which of the following organizations would the nursing advisor recommend that the nursing student join to best meet the student's current needs?
a. National League for Nursing c. International Coun-cil of Nurse b. American Nurses Association d. National Student Nurses Association
Horizontal conflict in the workplace is observed with which of the following situations?
a. Discussion with the manager before esca-lation occurs b. Refusing to work on day off c. Sharing views on patient care d. Withholding information that will under-mine the ability to perform his job