The chest x-ray of a patient who was recently intubated shows the endotracheal tube located in the right mainstem bronchus. What action should be taken at this time?
A. The tube is incorrectly attached to the ventilator.
B. The tube needs to be inserted further.
C. The tube needs to be withdrawn slightly.
D. The tube is correctly placed.
Answer: C
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The nurse is caring for a patient on the medical-surgical unit
The patient states, "I really don't like to talk about my bowel movements, but what is considered a normal bowel movement?" What is the best response by the nurse? Select all that apply. a. "We usually like to set an acceptable standard of at least one bowel movement per week." b. "We can say normal frequency is anything from several times a day to once per week. It depends on your normal pattern." c. "We also consider whether you have to strain with bowel movements, use laxatives, or have to rush to the toilet." d. "There is no such thing as normal. All people are different, so don't worry about it."
An elderly woman with a fractured hip is being cared for on your unit. What are contributory factors in the incidence of falls and fractured hips? (Mark all that apply.)
A) Living alone B) TIAs C) Emboli D) Decreased hearing E) General frailty
A female client who is unable to conceive arrives at a health care facility to begin diagnostic testing. Before testing, the nurse would review the client's history for which of the following?
A) Recording of basal body temperature B) Abstinence from intercourse for a week C) Immunization for rubella D) Fluid intake for the past for 4 hours
Which question is a problem-focused trigger?
a. What is known about reduction of urinary tract infections in the older adult with di-abetes? b. How can chronic pain best be described when the patient is nonverbal? c. How long can an intravenous catheter re-main in place in an obese patient? d. What measures can the nurse take to re-duce the rising incidence of urinary tract infections on the elder care unit?