The nurse is preparing to suction a patient with an endotracheal tube. What would be the nurse's first step in the suctioning process?
A) Explain the procedure to the patient before beginning and offer reassurance during suctioning.
B) Turn on suction source at or below 120 mm Hg.
C) Assess the patient's lung sounds and SaO2 via pulse oximeter.
D) Perform hand hygiene, then put on nonsterile gloves, goggles, gown, and mask.
C
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Which nursing intervention would be most appropriate to assist in decreasing edema after surgical excision of an oral tumor?
A. Frequent suctioning of the mouth B. Application of ice to the surgical wound C. Elevating the head of the bed 30 degrees D. Placing the client in a supine position, with the head slightly flexed
A patient planning to be married tells the nurse that she has a strong family history of Huntington chorea but does not plan to let her fiancé know. How should the nurse respond to this patient?
1. "Is there any reason why you do not want your fiancé to know about the genetic illness?" 2. "It is probably best that he is not aware of the disease." 3. "Are you afraid that he will not want to marry you if he knows?" 4. "There are worse disease processes than Huntington chorea."
A patient is brought into the emergency department after being exposed to a nerve gas. Which of the following will the nurse assess in this patient? Select all that apply
1. Miosis 2. Rhinorrhea 3. Shortness of breath 4. Muscle pain 5. Flaccid paralysis Correct
Which agent is an alternative to SSRIs for obsessive-compulsive disorder?
1. Fluoxetine 2. Amitriptyline 3. Clomipramine 4. Desipramine