A patient in the CCU is on a ventilator with oral intubation. The nurse notices that a pressure sore is forming on the patient's lip where it comes into contact with the endotracheal tube. Which nursing action would be most appropriate?
A) Reposition the endotracheal tube from one side to the other
B) Retape the endotracheal tube
C) Use twill tape
D) Place an oral bite block in the patient's mouth
A
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A client had a mastectomy yesterday. Today, the nurse must teach this client exercises to promote function on the operative side. When should this teaching occur?
1. Before administering pain medication, so the client is still alert. 2. Whenever the client expresses a desire to learn, despite pain status. 3. Approximately 30 minutes after administering pain medication. 4. Immediately after administering pain medication.
A family of dual-parent employment with two school-age children has moved into a community. During the home visit, the nurse overhears the children talking about something on the Internet being more interesting than school work
What type of information would be beneficial for the nurse to share with the parents at this time? A) School clubs that meet on the weekends B) Community activities planned specifically for after school C) Names of the Internet providers that service the community D) Local businesses seeking workers for part-time employment
Which of the following changes are expected in vision as part of the normal aging process?
A) Cataracts B) Glaucoma C) Macular degeneration D) Blurring of near vision
The nurse is caring for several patients who require oxygen therapy. The nurse anticipates an order for noninvasive positive-pressure ventilation (NIPPV) for the patients with which diagnoses? (Select all that apply.)
a. Pulmonary edema b. Obstructive sleep apnea c. Stroke with dysphagia d. Congestive heart failure