A patient using a nasal cannula has gurgling on inspiration. The nurse notes a productive cough but the inability to clear the secretions from the mouth. Which action should the nurse take first to prepare for oropharyngeal suctioning?
a. Apply clean gloves and a mask.
b. Insert the suction device to the back of the throat.
c. Remove the patient's nasal cannula.
d. Connect the tubing to a standard suction catheter.
A
Perform hand hygiene and apply clean gloves. Apply a mask or face shield if splashing is likely. Insert the device into the mouth along the gum line to the pharynx. Remove the patient's oxygen mask, if present. A nasal cannula may remain in place. Connect one end of the connecting tubing to the suction machine and the other to a Yankauer suction catheter.
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The nurse has received emergency admission orders for an older adult patient who was severely injured in a fall. The nurse would question the use of which medication in this patient?
1. Digoxin 0.125 mg po daily 2. Diazepam 5 mg po every 6 hours prn agitation 3. Morphine sulfate 2 mg IV every hour prn severe pain 4. Furosemide 20 mg po daily
The nurse manager is working with staff members to promote conflict resolution. The nurse manager recognizes that additional teaching is warranted when a staff member states,
a. "I will solicit the perspectives of others." b. "I will remember to criticize ideas, not people." c. "I will demonstrate manipulation when working with others." d. "I will avoid becoming emotional when discussing the conflict."
Why are patients advised not to chew or crush enteric-coated or delayed-release iron supplements?
A. Because it will lead to the development of a smooth, sore, beefy red tongue B. Because it will lead to iron poisoning C. Because it will lead to gastrointestinal (GI) irritation D. All of the above
An appropriate method for assessing a client's respirations is for the nurse to:
A. Place the bed flat B. Remove all supplemental oxygen sources C. Explain to the client that the respirations are being assessed D. Relax and gently place the client's hand over the upper abdomen