The nurse is caring for a patient who is intubated and being mechanically ventilated. Which of the physician's orders should the nurse question for this patient?
1. endotracheal suctioning every hour
2. endotracheal suctioning as needed
3. NPO status while patient is ventilated
4. intake and output every 4 hours
Correct Answer: 1
Suctioning should always be based on patient need and not routinely ordered. The patient will be NPO, and intake and output will be measured every 4 hours.
You might also like to view...
The mental health nurse is preparing a presentation for nurses who work with pediatric patients. Which barriers to mental health screening should the nurse include in the presentation? (Select all that apply.)
A. Belief that children do not have psychosocial or cognitive conditions B. Family shame related to psychosocial or cognitive conditions C. High level of health literacy regarding psychosocial or cognitive conditions D. Minimizing of psychosocial or cognitive conditions symptoms by health-care providers E. Stigma of psychosocial or cognitive conditions in society
The focus of nursing care for a patient diagnosed with dementia is
a. individualizing care. b. improving cognition. c. maintaining optimum function. d. promoting self-confidence and self-esteem.
Aron drank 13 c of liquid over 24 hours. He drank ________ L of fluid. (Round to nearest tenth.) (Use
either proportion or dimensional analysis.) Fill in the blank(s) with correct word
Which of the following would be a priority nursing diagnosis for a 73-year-old male patient with heart failure?
a. Constipation related to immobility b. Risk for infection related to IV lines c. Activity intolerance related to an imbalance of oxygen and demand d. Self-care deficit