A pt with MG develops difficulty coughing. Auscultation of the lungs reveals coarse crackles throughout the lung fields. The nurse identifies the pt is unable to cough effectively enough to clear the airway of secretions. Which intervention is best for this pt?
a. administer O2 2L per nasal cannula
b. ask respiratory therapist to perform chest physiotherapy
c. perform endotracheal suction
d. perpare intubation equipment
Answer: b. ask respiratory therapist to perform chest physiotherapy
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A resident of a long-term care facility was referred to an outpatient ophthalmology clinic for assessment, and the nurse has received the clinical report. The nurse reads that the resident's intraocular pressure was elevated above clinical norms
The nurse should recognize that the resident is at risk of A) cataracts. B) glaucoma. C) myopia. D) conjunctivitis.
The nurse is caring for a patient who has received a liver transplant. The patient's blood pressure is dropping and there is increased bloody drainage from the Jackson-Pratt drains at the abdominal incision
What is the most important nursing action? A) Administer intravenous fluid bolus. B) Continue close observation and monitoring. C) Notify the surgeon. D) Milk the Jackson-Pratt drainage tubes.
What should a nurse suggest to a patient with a colostomy choose when selecting an appropriate diet to reduce excess gas or diarrhea?
a. Roast beef, mashed potatoes, and peeled stewed tomatoes b. Broiled pork chop, boiled potato, and corn on the cob c. Broiled trout, mashed potatoes, and spi-nach d. Barbeque pork on a white bun, coleslaw, and French fries
Which individual in the emergency department should be considered at the highest risk for completing suicide?
a. An adolescent Asian-American girl with superior athletic and academic skills who has asthma b. A 38-year-old single African-American female church member with fibrocystic breast disease c. A 60-year-old married Hispanic man with 12 grandchildren who has type 2 diabetes d. A 79-year-old single white man with cancer of the prostate gland