The patient has been on a mechanical ventilator for 2 weeks. Weaning from mechanical ventilation is to start today
Based on the length of time that the patient has been ventilated, what information should the nurse emphasize to the patient and the family?
A) Extubation is expected later today, as the patient is relatively young.
B) Delays and setbacks are expected before independence is achieved.
C) The best method is continuous positive airway pressure (CPAP).
D) Elevation of the head of the bed will provide for the most patient comfort.
B
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The nurse is assessing a patient with possible cardiomyopathy and assesses the hepatojugular reflux. If heart failure is present, then the nurse should recognize which finding while pushing on the right upper quadrant of the patient's abdomen,
just below the rib cage? a. The jugular veins will rise for a few seconds and then recede back to the previous level if the heart is properly working. b. The jugular veins will remain elevated as long as pressure on the abdomen is maintained. c. An impulse will be visible at the fourth or fifth intercostal space at or inside the midclavicular line. d. The jugular veins will not be detected during this maneuver.
A 75-year-old patient is received into the postanesthesia recovery room (PACU) following a 6-hour abdominal surgery. The patient's hemodynamic status is stable
Based on knowledge of the patient's surgery and the common postoperative complications the patient might be at risk for, the recovery room nurse would perform which interventions? 1. Keep the room temperature at 70 degrees, consider supplemental oxygen, and provide warm blankets. 2. Consider increasing the IV fluids, assess for urine output, and monitor the oxygen saturation. 3. Assess the patient's blood pressure more frequently than for younger clients and provide oxygen. 4. Provide postoperative instructions to avoid straining and eat a low-fiber diet.
Mixed methods are appropriate in all phases of an intervention project. Broadly speaking, the design is sequential, but each phase can involve the use of various mixed methods designs. What phase is qualitative design often given priority?
A) 1 B) 2 C) 3 D) 4
While standing in the lunchroom, the nurse recognizes friends of a patient who was recently transferred to critical care. The nurse approaches them and offers to take them to the patient's care area. What action is this nurse demonstrating?
a. Defamation b. Compassion c. False Imprisonment d. Disclosure of Confidential Information