Nursing interventions to limit the complications of suctioning include
a. inserting the suction catheter no more than 5 inches.
b. premedicating the patient with atropine.
c. hyperoxygenating the patient with 100% oxygen.
d. increasing the suction to 150 mm Hg.
C
Hypoxemia can be minimized by giving the patient three hyperoxygenation breaths (breaths at 100% FiO2) with the ventilator before the procedure and again after each pass of the suction catheter.
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After auscultating a coarse low-pitched sonorous rattling in the left lower lobe, the nurse is concerned that the patient may be developing:
a. an accumulation of secretions in the larger air passages. b. narrowing in the lower lobe of the lung. c. irritation in the pleurae. d. crackles in the left lower lobe.
The nurse is providing care for a client who is 18 years old. Which of the following ethical principles should be implemented for this client?
1. Liberty 2. Agency 3. Justice 4. Autonomy
In counseling a newly pregnant gravida 1 at 8 weeks' twin gestation, the nurse teaches the woman about the need for increased caloric intake. The nurse would tell the woman that the minimum recommended intake should be:
1. 2,500 kcal and 120 grams protein. 2. 3,000 kcal and 150 grams protein. 3. 3,500 kcal and 175 grams protein. 4. 4,000 kcal and 190 grams protein.
Which situation would be included in reporting for Joint Commission mandatory national patient safety goals? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. The average wait time in the emergency department has increased by 5 minutes over last year's average. 2. A client is left waiting in the hallway because the transport person did not make contact with the client's nurse. 3. A nurse gives a medication by the wrong route. 4. A client developed sepsis after insertion of a urinary catheter. 5. Surgery is done on a client's right eye instead of the left eye.