You have been called to a home for "severe respiratory distress." You arrive to find a hysterical young woman who says she had been asked to "watch her nephew for a little while when his mother went out." He has a tracheostomy, and she says he is having a hard time breathing. She has no idea how to care for him because the mother left no instructions. You assess the child and find a nearly
totally mucus-plugged trach tube. What should you do?
A) Place the child on O2 via a trach mask. Do not attempt to suction, because doing so may force more mucus into the lungs. Transport immediately.
B) Call for orders to suction the trach tube.
C) Suction the tube and, if available, replace it with a clean, unobstructed one. Give the young woman guidance as to basic trach care.
D) Call the police and tell them the child has been put in a dangerous situation. Place the child on a nonrebreather mask and transport immediately.
C
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For patients with respiratory insufficiency, pressure-supported ventilation (PSV) has all of the following advantages over spontaneous breathing except:
a. decreased respiratory rate. b. increased VT. c. decreased O2 consumption. d. increased muscle activity.
You are caring for a newly born infant delivered approximately 8 minutes ago. The infant had a 1-minute APGAR score of 6, which improved to 7 at 5 minutes. Despite drying, warming, suctioning, and stimulating the infant, you note he continues to have central cyanosis. His heart rate is 132, and his ventilations are 50. Select the next action in the patient care sequence.
A) Administer "blow-by" oxygen. B) Begin chest compressions. C) Administer 0.01 mg/kg of epinephrine subcutaneously. D) Assist ventilations with a bag-valve-mask device.
For the following questions, use an ICD-9-CM code book to select the appropriate code(s)for the diagnostic statements given
Mumps meningitis
The pericardium is the wall, or sac, that encloses the heart.
Answer the following statement true (T) or false (F)