As part of the care of a mechanically ventilated client, the nursing action that would be inappropriate is

a. providing oral care every 2 hours.
b. keeping the head of the bed flat while intubated.
c. using aseptic technique for suctioning.
d. washing the hands before and after care.


B
Ventilator-acquired pneumonia (VAP) is a preventable nosocomial infection that occurs as early as 48 hours after intubation. Interventions to prevent VAP include performing meticulous oral care (a major cause is colonization by oropharyngeal secretions), using aseptic technique to suction, employing good hand-washing technique, and keeping the head of the bed elevated to 30 degrees or higher.

Nursing

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Precautions that should be taken when prescribing controlled substances include:

1. Faxing the prescription for a Schedule II drug directly to the pharmacy 2. Using tamper-proof paper for all prescriptions written for controlled drugs 3. Keeping any pre-signed prescription pads in a locked drawer in the clinic 4. Using only numbers to indicate the amount of drug to be prescribed

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A nurse is caring for a client who has developed a hypoglycemic reaction. Which of the following interventions should the nurse perform if swallowing and gag reflexes are present in the client?

A) Administer glucagon by the parenteral route. B) Administer the insulin via insulin pump. C) Administer oral antidiabetics to the client. D) Give oral fluids or candy.

Nursing

A patient is diagnosed with meningitis that developed after experiencing otitis media. What will the nurse most likely assess in this patient? Note: Credit will be given only if all correct choices and no incorrect choices are Select all that apply.

1. Fever 2. Stiff neck 3. Confusion 4. Photophobia 5. Palpitations

Nursing