The nurse is caring for a patient who has been intubated with an oral endotracheal tube for several weeks. The physicians predict that the patient will need to remain on a ventilator for at least several more weeks before
he will be able to maintain his airway and breathe on his own. What procedure does the nurse anticipate will be planned for the patient to facilitate his recovery?
a.
Placement of a tracheostomy tube
b.
Diagnostic thoracentesis
c.
Pulmonary angiogram
d.
Lung transplantation surgery
ANS: A
Placement of a tracheostomy tube will secure the patient's airway directly through the trachea, eliminating the need for the endotracheal tube. This will make the patient more comfortable and may allow him to eat while minimizing damage to the oropharynx from the endotracheal tube.
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The wife of a patient who has just arrived at the hospital for treatment of a possible massive myocardial infarction is tearful. She is demanding the nurse stop her interventions and explain her husband's condition
Which of the following actions should be taken by the nurse initially? 1. Contact the security officer to restrain her. 2. Stop actions and provide family education to her. 3. Tell the woman that she will be arrested if she does not calm down. 4. Continue to provide the needed care.
A client asks the nurse why she must continue taking asthma medication even though she has not had an asthma attack in several months. The best response for the nurse to make to this client would be?
1. "The medication needs to be taken for at least a year; then, if you have not had an acute attack, you can stop it.". 2. "The medication needs to be taken or your lungs will be severely damaged and we will not be able to prevent an acute attack.". 3. "The medication needs to be taken indefinitely according to your doctor, so you should discuss this with him.". 4. "The medication is still needed to decrease inflammation in your airways and help prevent an attack.".
According to the U.S. Surveillance for Violent Deaths in 16 states during 2005, victims of intimate partner violence (IPV) were MOST often from which age group?
a. 16 to 20 b. 21 to 34 c. 35 to 44 d. 40 to 60
A patient's heart rate increased from 94 to 164 beats/min. What will the nurse expect?
a. Increase in diastolic filling time b. Decrease in hemoglobin level c. Decrease in cardiac output d. Increase in stroke volume