E.M. is transferred to the pediatric intensive care unit (PICu) and placed on a continuous positive airway
pressure (CPAP) machine.
you know from experience that patients are usually on CPAP for a couple of
days before they are ready to be taken off and continue to improve until they are ready for discharge. you
explain this to the parents, who are very distressed.
What resources might you seek for E.M.'s parents during this unanticipated change in status?
Assess the support systems of the family; request a visit from the chaplain and a social work
consultation to address their fears and concerns. Educate the parents on the environment, plan of
care, and their role in the care of E.M. Help them identify ways they can continue to fulfill their role
and assist staff in the PICU setting.
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This teaching is based on the nurse's knowledge that muscarinic antagonists cause: a. elevation of intraocular pressure. b. miosis and ciliary muscle contraction. c. paralysis of the iris sphincter. d. relaxation of ciliary muscles.
A patient diagnosed with chronic renal failure has a magnesium level of 6 mg/dL. Which history data would the nurse evaluate as contributing to this electrolyte imbalance?
1. The patient had an episode of nasal congestion last week and took decongestant. 2. The patient had a recent sprain injury treated with rest and compression wrapping. 3. The patient has been trying to reduce intake of caffeine-containing fluids. 4. The patient has been taking over-the-counter laxative for chronic constipation.
The nurse collaborates with the health care provider to decrease the negative effects of corticosteroids on growth and development in children by:
a. administering the dose early in the day. b. use of alternate-day therapy. c. administering the dose with milk or food. d. administering the drug orally, rather than by injection.
The nurse's first action after discovering an electrical fire in a patient's room is to:
A) Activate the fire alarm. B) Confine the fire by closing all doors and windows. C) Remove all patients in immediate danger. D) Extinguish the fire by using the nearest fire extinguisher.