An unresponsive client with poor ventilator effort and a pulse rate of 120 beats/min arrives at the emergency department. What should the nurse do first?
a. Place the client on a non-rebreather mask.
b. Begin bag-valve-mask ventilation.
c. Initiate cardiopulmonary resuscitation.
d. Prepare for chest tube insertion.
B
Apneic clients and those with poor ventilatory effort need bag-valve-mask (BVM) ventilation for support until endotracheal intubation is performed and a mechanical ventilator is used. A non-rebreather mask would be appropriate only if the client had adequate spontaneous ventila-tion. Cardiopulmonary resuscitation is necessary only if the client is pulseless. Chest tubes are inserted for decompression and pneumothorax.
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A patient has been diagnosed with a fungal infection and is to be treated with itraconazole (Sporanox). Prior to administration, the nurse notes that the patient is taking carbamazepine (Tegretol) for a seizure disorder
Based on this medication regime, which of the following will be true regarding the medications? A) The serum level of carbamazepine will be increased. B) The patient's carbamazepine should be discontinued. C) The patient's antiseizure medication should be changed. D) The patient will require a higher dosage of itraconazole (Sporanox).
Which is a true statement about the role of grandparents?
a. The usefulness of grandparents declined with the advent of the industrial age. b. Today, many grandparents are the primary caregivers of their grandchildren. c. The value of grandparents is to provide gifts to younger family members. d. Traditionally, parents are subordinate to the grandparents in caregiving.
An infant with severe meconium aspiration syndrome is not responding to conventional treatment. Which highly technical method of treatment may be available at a level III facility for use with this infant?
a. Extracorporeal membrane oxygenation b. Respiratory support with ventilator c. Insertion of laryngoscope and suctioning of the trachea d. Insertion of an endotracheal tube
Parents of a newborn ask the nurse how much the newborn can see. The parents specifically want to know what type of visual stimuli they should provide for their newborn. The nurse responds to the parents by telling them:
1. "Infants can see very little until about 3 months of age.". 2. "Infants can track their parents' eyes and can distinguish patterns, preferring complex patterns.". 3. "The infant's eyes must be protected, and the infant enjoys looking at brightly colored stripes.". 4. "It is important to shield the newborn's eyes. Overhead lights facilitate their see-ing.".