The nurse is caring for a patient who is being turned prone as part of treatment for acute respiratory distress syndrome. The nurse understands that the priority nursing concern for this patient is which of the following?
a. Management and protection of the airway
b. Prevention of gastric aspiration
c. Prevention of skin breakdown and nerve damage
d. Psychological support to patient and family
A
All are important, but protection of the airway is the most important intervention if the patient is placed in the prone position.
You might also like to view...
A woman cares for her husband with a C7 spinal cord injury. The patient requires frequent turning, help with all activities of daily living, catheterization every 3 hours around the clock, and daily wound care for a pressure ulcer
They have three children ages 5 to 12. The wife is exhausted, cannot sleep at night, and has no one to help her. Which of the following outcome criteria would be relevant to a nursing diagnosis of Caregiver Role Strain for this patient's plan of care? a. Caregiver maintains patient's health. b. Caregiver accepts constructive criticism. c. Caregiver accepts responsibility for own actions. d. Caregiver identifies resources available to assist with care.
Which of the following abbreviations means "drop"?
a. gtt c. aa b. O.D. d. p.o.
Parents of a child recently diagnosed with Down syndrome relate to the nurse that they "feel guilty about causing the condition." The best response by the nurse is
1. "Down syndrome is a conditioncaused by an extra chromosome;the cause of it is unknown." 2. "Down syndrome is a condition thatis genetically transmitted from both the father and the mother.""Down syndrome is a condition thatis carried on the X chromosome,so it came from the mother." 4. "Down syndrome is caused by birthtrauma,not by genetics."
The nurse is setting up medications for clients in a hospital setting. Which of the following are recommended guidelines for this procedure? Select all answers that apply
A) Work from the bottom to the top of the MAR when setting up medications. B) Set up medications for all clients at one time. C) Compare each medication label with the MAR to make sure they are identical. D) Read the medication package at least two times. E) If unit doses are difficult to open, bring scissors when going to the bedside. F) Do not open a unit-dose package until ready to give the medicine.