A ventilated patient with a head injury needs to be suctioned. What will the nurse do to limit problems related to suctioning?
1. Limit the duration of each suctioning pass to less than 20 seconds.
2. Medicate with opiates after suctioning.
3. Reduce the flow of oxygen prior to suctioning.
4. Preoxygenate before suctioning.
4
Rationale 1: The duration of each suctioning pass should be limited to less than 10 seconds.
Rationale 2: The patient may be premedicated with opiates before suctioning.
Rationale 3: The flow of oxygen should not be reduced before suctioning.
Rationale 4: Suctioning the patient's endotracheal tube may result in transient reductions in oxygenation. Suctioning is a noxious procedure. For both these reasons, suctioning may impact ICP. The nurse should preoxygenate the patient prior to suctioning.
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Which of these statements about white blood cells (WBCs) is TRUE?
a. They are responsible for the exchange of O2 and CO2. b. They are active in the clotting mechanism of the body. c. They are produced by the liver according to the demand of the body. d. They are responsible for fighting infection and assisting with immunity.
What does research utilization on an inpatient unit require?
a. A nursing theoretical framework should be followed. b. Orem's theory of self-care requisites should be followed. c. Only the nurses should participate in the implementation. d. The implementation should be consistent with the nursing framework in the practice context.
The nurse is a member of the larger community and opportunities exist for volunteer service to give back to that community. Which of the following organizations relies on volunteers to provide care and education to people in underserved areas?
A) American Red Cross B) Habitat for Humanity C) VISTA D) Head Start Programs
A school-age client comes to the clinic for routine follow-up after being placed on amphetamine sulfate (Adderall) 2 weeks ago for a diagnosis of ADHD. The client weighed 15 pounds over normal for height prior to the start of the Adderall
The mother states concern that the client is no longer snacking, barely finishes meals, and "will lose too much weight." What is the nurse's best response to this concern? 1. "Make an appointment each week for us to monitor against too much weight loss." 2. "It is normal for clients to lose weight when taking Adderall." 3. "Over time, the diminished appetite might be reduced. Begin by offering small, frequent meals, and monitor for excessive weight loss." 4. "The Adderall will help the client to return to normal weight for his height."