A patient with a tracheostomy tube is accidentally extubated. What should the nurse do immediately?
a. Call the health care provider.
b. Mechanically ventilate the patient.
c. Insert a new tracheostomy tube.
d. Hold the stoma open with the fingertips.
C
Replace the old tracheostomy tube with a new tube. Some experienced nurses or respiratory therapists may be able to quickly reinsert the tracheostomy tube. A spare tracheostomy tube of the same size and kind should be kept at the bedside in the event of emergency replacement. Notify the health care provider after reestablishing the airway. Be prepared to manually ventilate the patient with an Ambu bag if respiratory distress develops until the tracheostomy is replaced. An endotracheal tube of the same size can be inserted in the stoma in an emergency.
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Although only 12% of elderly black Americans experience institutional care in their lifetimes, compared with 23% of elderly white Americans, they typically possess more health problems than their white counterparts
This difference in health status is most likely due to: A) High incidence of violent crime and sexually transmitted diseases B) Reliance on family for health care advice and rejection of formal service agencies C) Cultural preference for unconventional medical treatments like spiritual and herbal remedies D) Lower standard of living and less access to health care services
To plan effective interventions the nurse should understand that the underlying reason a client with
paranoid personality disorder is so critical of others probably lies in the client's a. need to set limits. b. use of intellectualization to protect against anxiety. c. inflexible view of the environment. d. projection of self-hate, hurt, and rage.
A nurse is at the beach with friends when one of them begins to complain about dizziness and fatigue. It is a particularly hot day in the middle of a heat wave. How should the nurse react?
A. Call an ambulance. B. Tell her to close her eyes and rest. C. Give her some cool water. D. Leave the beach with the friend and have her sit in an air-conditioned car while drinking an electrolyte replacement drink.
A client is suffering from stress related to the depressed lumber industry in his county. This may be called
a. Manic-depression b. Psychosis c. Anticipatory grieving d. Farm stress