Two hours after the client with an endotracheal tube has been extubated, a nurse hears stridor on inhalation. What is the nurse's best next action after applying humidified oxygen?
A. Document the observation as the only action.
B. Ask the client to cough and deep breathe.
C. Suction the client's mouth and pharynx.
D. Notify the emergency team.
D
Stridor on inspiration is caused by laryngospasm or edema and heralds impending airway occlu-sion. The client's airway is in jeopardy and the physician must take immediate action by pre-scribing an aerosol vasoconstrictor or by reintubating the client.
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a. Call the physician to request a medication order for Parlodel. b. Recommend that the client place ice packs on the sides of her breasts under the axilla. c. Show the client how to use a breast pump to remove milk. d. Suggest the client soothe breasts under a warm relaxing shower.
A client enters the emergency department with a suspected drug overdose. The nurse anticipates that which CNS respiratory stimulant will be used to treat the client?
a. Doxapram (Dopram) b. Sumatriptan (Imitrex) c. Methamphetamine (Desoxyn) d. Pemoline (Cylert)
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Which nursing action is appropriate for the parents of a 4-month-old infant who died due to sudden infant death syndrome (SIDS)?
1. Sheltering parents from the grief by not giving them any personal items of the infant, such as footprints 2. Allowing parents to hold, touch, and rock the infant 3. Advising parents that an autopsy is not necessary 4. Interviewing parents to determine the cause of the incident