Which evidence based intervention would the nurse use to prevent pneumonia in the patient receiving mechanical ventilation?
1. Aseptic technique when performing oral hygiene
2. Administration of an H2 antagonist to prevent peptic ulcers
3. Elevation of the head of the bed to 15 degrees to prevent aspiration
4. Changing the ventilator circuit daily
2
Rationale 1: Oral hygiene is a clean, rather than a sterile, procedure.
Rationale 2: One of the evidence based practices used to prevent ventilator-associated pneumonia includes the use of an H2 antagonist to prevent peptic ulcers.
Rationale 3: The head of the bed should be elevated at least 30 degrees.
Rationale 4: The ventilator circuit is changed weekly.
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Which of the following nursing interventions should be initiated on all patients with SIADH?
a. Placing the patient on an air mattress c. Initiating seizure precautions b. Forcing fluids d. Applying soft restraints
A patient is receiving discharge instructions and shares with the nurse that he intends to do a lot of traveling. What instruction should the nurse include?
a. "Pack plenty of extra colostomy supplies in your checked airline luggage. Some places you might visit do not always carry the supplies you will need." b. "Exercise caution with new foods, espe-cially local fruits and vegetables because they may cause diarrhea or gas." c. "If visiting somewhere where drinking local water is not advised, irrigating the colostomy with the local water is still okay." d. "Repeat back to me what we just talked about so that you will remember every-thing you have been taught."
Compare the following pieces of legislation and select the one that permits pharmacists to take refill orders by telephone for noncontrolled drugs
a. Controlled Substances Act b. Prescription Drug Marketing Act c. Durham-Humphrey Amendment d. Sherley Amendment
The nurse is caring for a client who has experienced a fetal demise. Which medication does the nurse anticipate will be prescribed for this client to expel the fetus?
1. Dinoprostone (Cervidil) 2. Terbutaline (Brethine) 3. Nifedipine (Procardia) 4. Oxytocin (Pitocin)