A patient with chronic obstructive pulmonary disease requires intubation
After the physician intubates the patient, the nurse auscultates for breath sounds. Breath sounds are questionable in this patient. Which action would best assist in determining endotracheal tube placement in this patient?
a. Stat chest radiographic examination
b. End-tidal CO2 monitor
c. V/Q scan
d. Pulmonary artery catheter insertion
B
Although a stat chest radiography examination would be helpful, it has a long turnaround time, and the patient's respiratory status can deteriorate quickly. An end-tidal CO2 monitor gives an immediate response, and the tube can then be reinserted without delay if incorrectly placed. The other tests are not for endotracheal tube placement.
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An acutely ill, anemic child's peripheral blood smear shows small, dense, spherical RBCs. What action by the nurse takes priority?
A. Assess and treat the child's pain adequately. B. Discuss the option of a bone marrow transplant. C. Obtain informed consent for blood transfusions. D. Prepare the family for chelation therapy.
Although many communicable diseases have been eradicated, new ones are appearing or old ones are morphing into new forms. Which of the following fall into the category of those not yet eradicated?
A. Multiple drug resistant tuberculosis (MDRTB) B. Smallpox C. West Nile Virus D. Both 1 and 3
Moving the patient from one place to another is called positioning the patient
True False
The four elements of a case note are the focus of the interview, your assessment and
A. The resolution and how the client seemed B. How the client seemed and the reason for visit C. The resolution and the reason for the next contact D. How the client seemed and the reason for the visit