The priority nursing intervention for a client experiencing a laryngospasm would be
a. administering 100% oxygen.
b. calling the resuscitation team.
c. positioning the client in high-Fowler position.
d. starting in IV with a large-bore catheter.
A
Management is directed at reestablishing the airway as quickly and efficiently as possible. The nurse should administer 100% oxygen and then call for assistance. Oxygen is continued until the spasms stop and the client is breathing easily. The client may need paralysis with neuromuscular blocking agents and mechanical ventilation.
You might also like to view...
A nursing assessment of a patient with hypovolemic shock is most likely to reveal what assessment findings? Select all that apply
A) Tachycardia B) Oliguria C) Disoriented to time and place D) Diuresis E) Bradycardia F) Hypotension
The nurse is planning care to meet the patient's pain management needs related to burn treatment. The patient is alert, oriented, and follows commands. The pain is worse during the day when various treatments are scheduled
Which statement to the physician best indicates the nurse's knowledge of pain management for this patient? a. "Can we ask the music therapist to come by each morning to see if that will help the patient's pain? b. "The patient's pain is often unrelieved. I suggest that we also add benzodiazepines to the opioids around the clock." c. "The patient's pain is often unrelieved. It would be best if we can schedule the opioids around the clock." d. "The patient's pain varies depending on the treatment given. Can we try patient-controlled analgesia to see if that helps the patient better?"
One of your home care patients, Mrs. Garvey, who is 78 years old and in fairly good health with no chronic diseases, has had trouble with her dentures for several weeks and is now having them repaired. What would be the appropriate response?
a. Suggest a clear-liquid diet until the dentures are replaced b. Suggest a soft diet until her dentures are replaced and her gums are not sore c. Question her carefully about any new symptoms she may have experienced in the past few weeks d. Both B and C
A nurse is assessing the pain of a client who has had major surgery. The client also has been experiencing depression. Which of the following would the nurse need to keep in mind when assessing the client's pain?
A) The client is likely experiencing less pain than he is reporting. B) The depression will have minimal impact on the client's level of pain. C) It is likely that the client's pain rating will be less than what he is feeling. D) The degree of surgery will be the key indicator for level of pain experienced.