A pulse oximeter has an alarm. The alarm sounds when:
a. The respiratory rate is too high
b. The respiratory rate is too low
c. The SpO2 is low
d. Temperature is elevated
C
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When the client complains of nausea after receiving his first dose of morphine for pain, the nurse should
a. encourage the client to wait as long as possible for the next dose. b. give only half of the prescribed dose of morphine the next time. c. instruct the client that with continued use the nausea will lessen. d. withhold the next dose of morphine until re-evaluation by the physician.
Which statement accurately describes the purpose of sedation vacation for a patient to prevent ventilator-associated pneumonia?
1. The vacation from sedation relieves stress, which decreases the chance of infection. 2. During sedation vacation the patient has a chance to take deep breaths and improve ventilation while more awake. 3. The patient's own tidal volume and respiratory rate can be evaluated during sedation vacation. 4. New data show that sedation vacation is no longer recommended because there is concern about the safety of interrupting sedation.
Broad waxy casts
What will be an ideal response?
Which strategy by the nurse would best facilitate palpation of a ticklish client's abdomen?
A) Have client place hand on the abdomen with the nurse's hand on top. B) Press very firmly on the abdomen so the tickle sensation is absent. C) Distract the client with conversation about family while palpating the abdomen. D) Place a small amount of lubricant on the skin so the nurse's fingers will slide more easily.