Which of the following nursing actions assists the intubated client to maintain adequate oxygenation after a head injury?
A. Using humidified air to deliver oxygen through the ventilator
B. Administering intravenous lidocaine to suppress the cough reflex
C. Hyperventilating with 100% oxygen for 60 seconds before suctioning
D. Maintaining the client in a prone position, with the head of the bed elevated to 30 degrees
C
Delivering 100% oxygen through the endotracheal tube before suctioning and between each pass of the catheter helps maintain arterial blood gas values adequately.
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A client received maintenance doses of trifluoperazine (Stelazine) 30 mg po daily for 1.5 years. The
clinic nurse notes the client is grimacing and seems to be constantly smacking her lips. Her neck and shoulders twist in a slow, snakelike motion. The nurse should suspect the presence of a. agranulocytosis. b. tardive dyskinesia. c. Tourette's syndrome. d. anticholinergic effects.
A 19-year-old woman has been diagnosed with
hypothyroidism and has started thyroid replacement therapy with levothyroxine (Synthroid). After 6 months, she calls the nurse to say that she feels better and wants to stop the medication. Which response by the nurse is correct? a. "You can stop the medication if your symptoms have improved." b. "You need to stay on the medication for at least 1 year before a decision about stopping it can be made." c. "You need to stay on this medication until you become pregnant." d. "Medication therapy for hypothyroidism is usually lifelong, and you should not stop taking the medication."
A 1-year-old child is prescribed a transdermal drug patch for pain control. To which site does the nurse apply the patch?
a. On the lower arm where changing the patch is easier b. On the back between the shoulders so the child cannot reach it c. On the upper chest so that any skin irritation can be seen quickly d. On the leg between the knee and the thigh for fastest drug absorption
The nurse is aware that application of cold is indicated for the client with:
1. Menstrual cramping 2. An infected wound 3. A fractured ankle 4. Degenerative joint disease