The decision has been made to discharge a ventilator-dependent patient home. The nurse is developing a teaching plan for this patient and his family. What would be most important to include in this teaching plan?
A) Administration of inhaled corticosteroids
B) Assessment of neurologic status
C) Turning and coughing
D) Signs of pulmonary infection
Ans: D
Feedback:
The nurse teaches the patient and family about the ventilator, suctioning, tracheostomy care, signs of pulmonary infection, cuff inflation and deflation, and assessment of vital signs. Neurologic assessment and turning and coughing are less important than signs and symptoms of infection. Inhaled corticosteroids may or may not be prescribed.
You might also like to view...
Select the intervention that the nurse places highest priority on when caring for an adult client with severe impetigo
a. Using a circular motion to apply pre-scribed topical antibiotic ointment b. Covering the client's hands with gauze or mitts to prevent scratching c. Administering prescribed systemic anti-biotics d. Giving the client two tepid baths, one in the a.m. and one in the p.m.
Which of the following is true about clinical nurse specialists and nurse practitioners?
1. They often work in similar settings. 2. They have identical educational preparation. 3. Debate on similarities has settled the similarities and differences. 4. The clinical nurse specialist role always involves prescriptive practice.
Which of the following is a reason to perform a lumbar puncture on a child with a diagnosis of leukemia? Select all that apply.
1. Rule out meningitis. 2. Assess the central nervous system for infiltration. 3. Give intrathecal chemotherapy. 4. Determine increased intracranial pressure. 5. Stage the leukemia.
The psychiatric advanced practice registered nurse (APRN) works for a local community health center. For which patient should the nurse prepare to provide care? (Select all that apply.)
1. A 76-year-old man who was found wandering the parking lot of a local shopping mall 2. A 40-year-old woman with diabetes and a history of depression 3. A 16-year-old girl with a BMI of 15.75 4. A 60-year-old woman with a sprained ankle 5. A 17-year-old football player with fluid volume deficit and a cut on his right hand