A pregnant woman is admitted to a CCU after a motor vehicle crash. She is endotracheally intubated and mechanically ventilated
Respiratory assessment reveals diminished lung sounds at posterior bases, decreased functional residual capacity, and increased spontaneous tidal volume. What is the highest-priority nursing action?
A) Obtain orders for ventilator setting adjustments to compensate for the abnormal findings.
B) Suction the patient via the endotracheal tube to stimulate cough.
C) Continue the present plan of care, as the findings are expected.
D) Obtain orders for an inhaled bronchodilator for bronchospasm.
C
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A patient diagnosed with Bell's palsy is being cared for on an outpatient basis. An expected nursing intervention for this patient would be what?
A) Applying a protective eye shield B) Encourage to eat on affected side C) Avoid analgesics D) Avoid brushing teeth
A nurse is teaching a group of hearing-impaired nursing home residents about hearing aids. Which of the following points should the nurse emphasize?
A) It is not necessary to use the hearing aid for one-on-one conversations. B) The hearing aid should be used only in the dining room or social area. C) While inserting the hearing aid, make sure the volume is turned off. D) If whistling is heard, the volume of the hearing aid may need to be increased.
A health care professional is providing education to a group of seasonal athletes. What type of fracture does the professional warn them to avoid?
a. Stress b. Greenstick c. Insufficiency d. Pathologic
A 11-year-old client has been hospitalized on the adolescent psychiatry unit with severe depression. For the past several weeks, the client has been prescribed a selective serotonin reuptake inhibitor (SSRI). What is the priority nursing action?