The nurse is caring for a client who has multiple traumas and an endotracheal tube to mechanical ventilation on assist-control
Which of the following does the nurse include in family teaching about the benefit of the client's ventilation? (Select all that apply.) 1. The client controls the vital capacity and each breath of the ventilator.
2. The client breaths and the ventilator delivers a specific volume of air.
3. The client can take spontaneous breaths between the ventilator cycles.
4. The ventilator provides a predetermined number of breaths per minute.
1, 2
1 and 2. Assist-control ventilation is beneficial to the client because the client initiates every breath but the ventilator controls the volume of inspired air to prevent hypoventilation. This type of ventilation maintains strong respiratory muscles and promotes oxygenation and ventilation.
3. The client is able to initiate a breath at all times except while the ventilator delivers the volume.
4. The client controls the respiratory rate.
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In attempting to teach a patient how to clean around the surgical sutures on his abdomen upon discharge to home, the nurse determines that applying the principle of the learner's self-concept would be most effective with this patient
Which of the following is the best example of an application of that principle in this situation? A) Relating to the patient a story about another patient who failed to properly clean his sutures and the outcome B) Explaining that failure to properly clean around the suture site could result in serious infection C) Commenting that learning to properly clean his suture site could give the man skills that would better prepare him for a career in health care D) Mentioning to the patient that, if he would prefer, he can watch a video on the hospital's website on how to clean around a suture site
The nurse, who has been calling postpartum clients, learns that one client reports having no appetite and wants to sleep all day. What does this information suggest to the nurse?
A) The client is feeling blue, which is normal. B) The client's sleep-wake cycle is disrupted. C) The client may be experiencing postpartum depression. D) The client is developing postpartum psychosis.
A client at the sleep disorders clinic tells the nurse, "I have not slept well in years. As a result, I
never feel good. After all these years, I do not expect things will ever improve or be any different.". Nursing interventions the nurse should consider implementing include (more than one answer may be correct) A. providing instruction in relaxation techniques. B. advising to use alcohol as a sedative. C. health teaching regarding factors that influence sleep. D. counseling to address cognitive distortions. E. advising to engage in fatigue-producing activities to become overtired. F. promoting lengthy daytime sleep periods.
Which of the following factors should the nurse consider when assessing clients with schizophrenia?
A) Disturbances in behavior C) Positive and negative symptoms B) Memory loss D) Depression