The patient's chest tube is attached to a one-way flutter valve that allows air to escape the chest cavity and prevents air from reentering. How does the nurse document this finding?
a. Heimlich chest drain valve
b. Pneumovax
c. Water seal
d. Pleurovac
A
The device described is a Heimlich chest drain valve. Pneumovax is a pneumococcal vaccine that is effective against 23 common strains of Pneumococcus. A Pleurovac is the brand name of a water-seal set.
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Pulse oximetry should be used to
A) determine PaCO2 levels. B) assess end-tidal carbon dioxide. C) assess trends in oxygen saturation. D) identify anemia due to hemolysis.
As the ICU nurse caring for a patient with multiple traumas from an ATV accident, you draw arterial blood gasses (ABGs) every 4 hours. What are you assessing in this patient with the ABGs?
A) The bicarbonate-carbonic acid buffer system B) The patient's oxygen status C) The patient's intracellular buffer systems D) Metabolic acidosis status
The nurse instructs a patient with diabetes mellitus about subcutaneous insulin administration. What does the nurse include in patient teaching?
a. Remember that NPH insulin peaks within 15 minutes. b. Prepare for hyperglycemia 2 hours after taking insulin. c. Keep insulin refrigerated after adminis-tering the first dose. d. Eat right after taking regular insulin to avoid hypoglycemia.
The client states that she uses bottled water to mix formula for her infant. The nurse educates the client that due to this practice, the infant may be at risk for developing which of the following health problems, later in life?
1. Cancer 2. Hypertension 3. Diabetes 4. Dental caries