The nurse needs to deliver rescue breathing with a bag-valve-mask unit for the adult client. Which intervention does the nurse implement to use the device effectively?
1. Ventilates the client at 15 to 20 breaths per minute
2. Connects bag to supplemental oxygen before using
3. Increases compression force for an airway obstruction
4. Removes oropharyngeal airway to improve ventilation
2
2. The nurse connects the Ambu® bag to oxygen at 100% before ventilating the client to deliver supplemental oxygen with the first ventilation of the client. This is effective use of the bag-valve-mask unit because it is better for the client than delivering room air because it increases oxygen saturation in an efficacious manner.
1. The nurse delivers rescue breaths to an adult client at 10–12 beats/min without chest compressions and at 8–12 beats/min with an endotracheal tube.
3. The nurse avoids increasing the compression force for a client with a suspected airway obstruction to prevent lodging the obstruction farther into the airway.
4. Removing the airway is unlikely to improve ventilation for the client who is unable to maintain an airway.
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The nurse is planning postoperative care for an infant after a cleft lip repair. Which of the following should the nurse include in this infant's plan of care?
1. Prone positioning 2. Suctioning with a tonsil tip (Yankauer) device 3. Supine or side-lying positioning 4. Avoidance of soft elbow restraints
The nurse is caring for an older adult patient who is receiving rehabilitation following an ischemic stroke
A review of the patient's electronic health record reveals that the patient usually defers her self-care to family members or members of the care team. What should the nurse include as an initial goal when planning this patient's subsequent care? A) The patient will demonstrate independent self-care. B) The patient's family will collaboratively manage the patient's care. C) The nurse will delegate the patient's care to a nursing assistant. D) The patient will participate in a life skills program.
A systemic, dynamic process by which the nurse, through interaction with the patient, significant others, and health care providers, collects and analyzes data about the patient is known as ______________________
ANS:
When caring for a woman who was sexually assaulted, what is your best approach for collecting information surrounding the event? Choose all that apply
1) Use a calm, reassuring voice when asking questions of your patient. 2) Ask only close family members to describe events related to the incident. 3) Provide privacy by asking questions behind a closed curtain. 4) Document the details using the patient's own words.