When a client with a cuffed ET tube reports shortness of breath, the nurse would
a. give the ordered pain medication.
b. assess for a cuff leak.
c. increase the level of O2 delivery.
d. elevate the head of the bed.
B
If the client can talk, the cuff is not inflated. The complaint of shortness of breath is also related to the ET tube not being tightly fitted.
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A nurse is aware that baclofen (Lioresal) is a centrally-acting spasmolytic that has been demonstrated to be safe and effective in the treatment of numerous disorders of muscle spasm and spasticity
The nurse should question the order if baclofen is prescribed for which of the following patients? A) A 22-year-old man whose muscle spasticity is attributable to a spinal cord injury that he suffered while snowboarding. B) A 49-year-old woman whose recent motor disturbances have culminated in a diagnosis of multiple sclerosis. C) A 14-year-old boy who has a diagnosis of cerebral palsy and who has experienced a recent increase in muscle spasticity. D) A 70-year-old man whose Parkinson disease has worsened in recent months, resulting in decreased mobility and self-care.
The nurse is instructing a female client on what should be done if a lump is discovered while performing breast self-examination (BSE). What should the nurse instruct the client to do?
1. Call her physician and immediately schedule an appointment. 2. Call to schedule an appointment next month. 3. Take the antibiotics she has in her medicine cabinet. 4. Wait until next month's BSE to make sure the lump is still there.
You find a victim lying on his right side. He is breathing and has a pulse. However, he is bleed-ing from his right leg. You should do which of the following?
a. Begin chest compressions. b. Try to control the bleeding. c. Give him fluids. d. Begin rescue breathing.
A nurse is caring for a client with severe heat cramps. What should the nurse do when providing care to the client with a heat-related illness?
1 . Move the client to a cooler place. 2 . Provide concentrated salt solutions, if the client can swallow. 3 . Uncover the client's head. 4 . Keep the client calm. A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4