Which intervention is important when the nurse is caring for a patient who is a potential lung donor in order to ensure that the lungs remain suitable for transplant?
1. Maintaining the FiO2 at 98% to 99%
2. Avoiding excess fluid replacement
3. Avoiding frequent suctioning of the donor's endotracheal tube
4. Maintaining the donor's oxygen saturation at 80%
2
Rationale 1: The intent is to attain the highest level of oxygen concentration in the donor's blood. FiO2 is to be less than 60%.
Rationale 2: Excess fluid replacement can cause pulmonary edema. Avoiding excessive fluid is essential when recovering lungs for donation.
Rationale 3: Donors receive vigorous pulmonary hygiene and should be suctioned frequently.
Rationale 4: Oxygen saturation is maintained greater than 98%.
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The nursing student asks the nurse the reason that knowledge of nursing theories is important. The nurse should respond that nurses use nursing theories to do which of the following? Standard Text: Select all that apply
1. Organize assessment data. 2. Generate goals. 3. Evaluate outcomes. 4. Plan interventions. 5. Generate nursing actions.
The nurse knows an appropriate outcome statement for the nursing diagnosis Impaired swallowing is:
a. the patient will consume 50% of his meal. b. the patient will gain 2 lb a week. c. the patient will show any signs of aspiration during meals. d. the patient will demonstrate using an assistive device to feed himself.
The nurse makes sure that the client and the family understand that in the transdisciplinary approach, the entire team
a. estimates the time required for full functioning. b. identifies a primary therapist. c. limits what each discipline will offer. d. sets team goals during transdisciplinary meetings.
Which suggestions would be included when educating a patient concerning the manage-ment of a circadian rhythm sleep disorder? Select all that apply
a. Darken the bedroom. b. Go to sleep at the same time each night. c. Keep the bedroom environment calm and serene. d. Initially, retire 30 minutes earlier than usual. e. Take a low-dose over-the-counter sleep aid.