The nurse is caring for a patient who is ready to be weaned from the ventilator
In preparing to assist in the collaborative process of weaning the patient from a ventilator, the nurse is aware that the weaning of the patient will progress through the weaning process in what order?
A) Removal from the ventilator, tube, and oxygen
B) Removal from oxygen, ventilator, and tube
C) Removal of the tube, oxygen, and ventilator
D) Removal from oxygen, tube, and ventilator
Ans: A
Feedback: The process of withdrawing the patient from dependence on the ventilator takes place in three stages: the patient is gradually removed from the ventilator, then from the tube, and, finally, oxygen. Therefore options B, C, and D are incorrect.
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The nurse knows that which of the following observations of a client during a sleep study would be most likely considered a pathological finding?
A) The client experiences periods of apnea of 5 to 15 seconds in duration. B) The client's intrinsic clock involves a sleep-wake cycle that is consistently 2 hours longer than the actual length of a day. C) The client's PCO2 level is increased, and his PO2 level decreased during deep sleep. D) The client spends the majority of his sleeping hours in deep REM sleep.
The nurse acts as an empowering agent in health promotion by:
a. coordinating all of a patient's health care. b. focusing on the patient's anxiety and fears related to change. c. including the patient in every aspect of care. d. motivating patient behavior through description of negative outcomes.
The patient had a right mastectomy 2 years ago and now reports pain and swelling of the right arm. Based on this data, which does the nurse suspect?
1) Buerger disease 2) Arterial insufficiency 3) Obstruction of lymph flow 4) Myasthenia gravis
After examining the laboring woman, the physician tells her that her cervix showed some effacement. Later, the woman asks the nurse what "effacement" is. Effacement is best described as:
a. Enlargement of the cervical os to permit the fetus to pass through b. Relaxation and stretching of perineal muscles c. Shortening and thinning of the cervix d. Loss of the mucous plug