A client with acute respiratory distress syndrome is being weaned from ventilatory support. Which of the following should the nurse do to maximize the weaning process for this client?
1. Begin weaning procedures in the morning
2. Provide morning care during the weaning procedures
3. Medicate with morphine for pain as needed
4. Reduce percentage of oxygen being provided through the ventilator
1. Begin weaning procedures in the morning
Rationale:
Weaning a client from ventilatory support should begin in the morning when the client is well-rested. Activities and care should be limited during the weaning process to reduce the demand for oxygen. The client should not be given any medication known to suppress respirations since this would interfere with the weaning process. Medicating for pain would be appropriate when the client is back on the ventilator after concluding the weaning procedures. The nurse should not reduce the percentage of oxygen being provided through the ventilator since this is not part of the weaning process.
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a. Abuse b. Neglect c. Violence d. Exploitation
Federal regulations and Joint Commission standards regulate the use of seclusion and restraints by health care workers. What do these regulations mandate with regard to the use of restraints?
A) Restraints can only be applied in the presence of a physician B) Restraints can be applied under the supervision of a licensed nurse C) Restraints can only be applied under the supervision of a registered nurse D) Restraints can only be applied if nursing orders are on the chart
In which situations would the state board of nursing have probable grounds for disciplining a nurse?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The nurse can no longer lift 30 pounds. 2. The nurse fails to report a co-worker who is working outside his scope of practice. 3. The nurse questioned a direct physician order. 4. The nurse made a false statement on the licensure application. 5. The nurse told a co-worker that she is taking antidepressant medications.