The patient is lethargic and unable to clear oral secretions effectively. How does the nurse manage the suctioning of the oropharyngeal secretions from the patient?
a. Uses a Yankauer suction device
b. Loosens oral secretions with normal saline solution
c. Suctions the nose, mouth, and throat with a catheter
d. Uses a clean catheter to suction the nose and mouth
A
A Yankauer suction device is a strawlike tube that can effectively suction oral secretions. The nurse avoids instilling saline solution into the patient's oropharynx to prevent aspiration. Suc-tioning the nose and throat is not indicated. A sterile catheter is used for nasopharyngeal suc-tioning to prevent contamination of the nasal passages or trachea.
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A hospital prepares to receive large numbers of casualties from a community disaster. Which clients should the nurse identify as appropriate for discharge or transfer to another facility? (Select all that apply.)
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"We aren't getting much done; let's speed things up and make our decision."
a. Playboy b. Energizer c. Organizer d. Gatekeeper e. Follower
The nurse checks the dose of the analgesic for the client, who is 80 years old and wants to collaborate with the provider to adjust the dosage. Which does the nurse use to justify the re-quest?
1. Older adults have higher risks of injury with IM injections. 2. Contraindications to some analgesics exist for older adults. 3. Impaired cognition impairs client pain report by older adults. 4. Liver and kidney metabolism is usually slower in older adults.