The nurse, working in the postanesthesia care unit inserts an oral airway into the semiconscious patient to prevent airway obstruction. When should the airway be removed?
a. When the patient can be aroused
b. When the patient is 24 hours postoperative
c. When the patient removes it
d. When the provider prescribes that it be removed
C
A semiconscious patient can be aroused but is not awake enough to have the airway removed. Maintaining an airway in place for 24 hours would cause trauma to the airway and is longer than the patient will need this to be in place. When the patient is awake enough to find the airway annoying, the patient will remove it and that will be the safest time. If the provider were to write a prescription specifying when to remove the airway, it would be based on the patient's level of alertness.
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The patient has recently moved into a newly renovated home in the inner city. The patient is being seen in the clinic for complaints of ongoing headaches, nausea, dizziness and fatigue. The symptoms started shortly after moving into the new home
As the nurse gathers information, which of the following questions would be most appropriate to ask the patient? a. "Have you changed the battery in your smoke alarm recently?" b. "Have you changed your diet since moving?" c. "What type of furnace do you have?" d. "When was the last time your house was painted?"
The government has authorized a series of influenza immunization clinics that will be provided free of cost to citizens. Which type of health organization does this represent?
1. Health protection 2. Health restoration 3. Preventive health services 4. Health promotion
The female client has experienced recurrent candidiasis with intense vaginal itching and excoriation. After treatment the client is reexamined, and the nurse practitioner finds presence of a white, cheesy discharge. What recommendation is necessary?
1. Referral to a surgeon for excision of infected tissue 2. Examination and treatment of sexual partner 3. Treatment with a stronger oral antibiotic 4. Routine douches with a topical antibiotic solution
A client admits himself to an alcoholism rehabilitation program
During the third week of treatment, his wife tells the nurse that once her husband is discharged from the alcoholism rehabilitation program, she is sure everything will be "just fine.". Which remark by the nurse will be most helpful to the client's wife? a. "It is good that you are supportive of your husband's sobriety and want to help him maintain it.". b. "While your husband's sobriety solves some problems, new ones may come to light as he adjusts to living without alcohol.". c. "It will be important for you to structure his life to avoid as much stress as you can. You will need to protect him.". d. "Remember, your husband is basically a self-destructive person. You will need to observe his behavior carefully.".