The nurse is preparing to perform tracheal suction for a patient who has had a tracheostomy for several months following a traumatic brain injury
After securing the end of the suction tubing to the suction device, the nurse should turn on suction source at a pressure that should not exceed:
A) 100 mm Hg
B) 125 mm Hg
C) 150 mm Hg
D) 175 mm Hg
C
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Which intervention will the nurse implement when suctioning a tracheostomy?
a. Suction for two to three breaths. b. Clear the catheter with water after suctioning for reuse. c. Apply suction for no more than 15 seconds. d. Establish a regular schedule for suctioning.
The adult dose of a drug is 2 g. The dose for a child whose BSA is or 2.2 m2 is _______________
a. 2.6 g b. 4 g c. 2.7 g d. 1.1 g
The nurse is caring for a patient admitted with a diagnosis of muscular dystrophy resulting in inadequate muscle strength to draw enough air into the lungs. What nursing diagnosis would be most appropriate for this patient?
a. Ineffective Breathing Pattern b. Ineffective Airway Clearance c. Impaired Gas Exchange d. Impaired Spontaneous Ventilation
The nurses on the 7 a.m. to 3 p.m. shift have been complaining to the head nurse that the nurses on the 11 p.m. to 7 a.m
shift have not been doing the ordered client daily weights, and the phy-sicians are very upset when they make their early morning rounds. Identify the initial action the head nurse should take to resolve this conflict. a. Post a stern memo that reminds the night shift nurses to do the daily weights. b. Review the daily weight flow sheet. c. Change the time for daily weights to the late morning. d. Hold a meeting with the physicians to discuss their attitudes.