A mechanically ventilated patient with an endotracheal tube in the critical care unit is being actively weaned and is off sedation medication
As he begins to wake up for the first time since his admission, he becomes increasingly agitated, pulling at his gown, kicking his feet, and grimacing. The nurse responds to the situation by a. medically treating the patient to sedate him again.
b. putting him in restraints because his issues are behavioral.
c. telling him to stop moving around before he extubates himself.
d. quickly providing emotional comfort to reduce the patient's anxiety and telling him simple facts to help him understand the situation.
D
The need for oxygen and survival predominates over all other human needs. According to Maslow's hierarchy of human needs, lower-level, physiologic needs must be satisfied before an individual can move on to higher-level issues. Experiencing a significant physiologic stressor may completely consume all the patient's available energy and thoughts, affecting his or her ability to interact, comprehend, and respond.
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Convert 0.45 centimeters to an equivalent length in millimeters
1. 45 mm 2. 4.5 mm 3. 0.45 mm 4. 0.045 mm
The nurse is caring for a patient in the acute phase of burn care. While performing an assessment during this phase of burn care, the nurse recognizes that airway obstruction related to upper airway edema may occur up to:
A) 2 days after the burn injury B) 3 days after the burn injury C) 5 days after the burn injury D) 1 week after the burn injury
Mrs. Taylor's psychiatrist has explained the potential benefits of ECT in the treatment of her depression. Which of the following nursing diagnoses is most likely to apply to a client who is scheduled to soon begin ECT?
A) Risk for anxiety B) Risk for decisional conflict C) Risk for impaired physical mobility D) Risk for ineffective protection
The nurse uses a reflex hammer to gently strike the forearm about two inches above the wrist. Which reflex is the nurse assessing?
A. Brachioradialis. B. Triceps. C. Biceps. D. Achilles.