The observation that would require an immediate nursing intervention for a client recently returned to the unit following partial laryngectomy is
a. blood-tinged sputum.
b. copious respiratory secretions.
c. difficulty swallowing.
d. pulsating tracheostomy tube.
D
A pulsating tracheostomy tube may indicate that the tip of the tube is resting on the innominate artery and may cause injury to the artery, resulting in hemorrhage.
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Which of the following medications would you expect to be included in the treatment of a patient with congestive heart failure? Select all that apply
a. Nitrates b. Beta-adrenergic agents c. Diuretics d. Anticoagulants
The nurse assessing a 17-month-old infant determines that the anterior fontanel is sunken, and further assesses the child for:
1. Craniosynostosis. 2. Dehydration. 3. Developmental delays. 4. Neglect.
Which is the most important legal statement about creating personal Web pages?
1. A Web page developer does not have to abide by copyright laws before posting information. 2. A Web page developer must review copyright laws before posting information. 3. Nonprofit organizations are the only entities that must abide by copyright laws. 4. For profit agencies are the only entities that must abide by copyright laws.
The most effective documentation is: 1. 7/27 945 AM Pt. vomited, Pt. looked better after episode. A. Nurse, LPN2. 7/27 945 AM Pt. vomited large amount. Reduced nausea.3. 7/27 945 AM Pt. reported less nausea after vomiting
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