A client with a Jackson metal tracheostomy tube has been admitted with pneumonia and dyspnea. The nurse would make arrangements to have supplies on hand to compensate for the fact that this type of tracheostomy tube
a. does not have an inner cannula.
b. has a high-pressure cuff.
c. has no respirator adapter.
d. is very short.
C
Because metal tubes do not have a standard 15-mm adapter, rapid adaptation to respiratory or anesthesia equipment is impossible unless a specific adapter is available. Since this client is at high risk for worsening respiratory problems, the astute nurse would ensure that an adapter for ventilator use is nearby.
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A client in her 20th week of gestation has arrived at a prenatal clinic for a checkup. The ultrasound examination indicates an esophageal anomaly. Which of the following findings helps in the prenatal identification of an esophageal anomaly?
A) Absence of a fetal fluid-filled stomach bubble B) Decreased nuchal translucency in the fetus C) Decreased fundal height of the uterus D) Oligohydramnios in the client
A woman arrives at the clinic for a pregnancy test. Her last menstrual period (LMP) was February 14, 2007. Her expected date of birth (EDB) would be:
1. September 17, 2007. 2. November 7, 2007. 3. November 21, 2007. 4. December 17, 2007.
Which carboxyhemoglobin (COHb) level correlates with the clinical symptoms of confusion, lethargy, and ST-segment depression on the ECG?
a. Less than 10 percent b. 20% COHb c. 30% COHb d. 40% to 60% COHb
Which of the following are examples of appropriate communication techniques for dealing effectively with people with dementia?
A) Ask open-ended questions so the person feels he or she can make choices. B) For people in the later stages of Alzheimer disease, talk as you would to a child. C) Maintain good eye contact and use a relaxed and smiling approach. D) When the person forgets something, remind him or her not to forget next time.