The nurse is caring for a client on a mechanical ventilator because of worsening emphysema. Which of the following is a recommended nursing intervention for this client?
A) Place the client in a semi-Fowler's position.
B) Turn the client from side to side every 2 hours.
C) Place a pillow under the legs of the client to prevent thrombophlebitis.
D) Apply warm compresses to the tube entrance site.
B
Feedback:
The nurse should assist the client who is on a ventilator to turn from side to side at least every 2 hours. Turning helps to improve lung function and to prevent immobility disorders, such as pressure ulcers or thrombophlebitis.
You might also like to view...
A client with rheumatoid arthritis (RA) is on the postoperative nursing unit after having elective surgery. The client reports that one arm feels like "pins and needles" and that the neck is very painful since returning from surgery
What action by the nurse is best? a. Assist the client to change positions. b. Document the findings in the client's chart. c. Encourage range of motion of the neck. d. Notify the provider immediately.
Which laboratory value should the nurse examine when evaluating uncompensated respiratory alkalosis?
a. PaO2 b. Anion gap c. PaCO2 d. HCO3–
Which statement regarding the adverse effects of antineoplastic drugs is the most accurate?
1. They produce the most, but a small range, of adverse effects. 2. They produce the same amount of adverse effects as any other medication. 3. They commonly produce serious adverse effects. 4. They produce the least amount of serious adverse effects of any medication.
A nurse is preparing to administer an antibiotic to a patient with methicillin-resistant Staphylococcus aureus (MRSA). The nurse would expect the healthcare provider to order which antibiotic?
a. Daptomycin (Cubicin) b. Levofloxacin (Levaquin) c. TMP/SMZ (Bactrim) d. Ciprofloxacin (Cipro)