A patient who is endotracheally intubated and on mechanical ventilation has a decreasing oxygen saturation level with an increasing heart rate. What is the nurse's priority action?
1. Ensure the airway is clear.
2. Auscultate lung sounds.
3. Reposition the patient.
4. Reposition the endotracheal tube.
Answer: 1
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The 28-year-old husband and wife have just been told their child has trisomy 21. Their 3-year-old child has no health problems. What statement should the nurse include in counseling this family?
1. "Don't worry. Everything will turn out for the best." 2. "It can be very difficult to understand why God chose you for this problem." 3. "Your child's disorder was not predictable, and not the fault of either of you." 4. "Your 3-year-old will need extra attention, given a sibling with special needs."
A career ladder approach in nursing refers to:
a. associate or diploma educational pathways. b. employment according to the educational level of the nurse. c. nursing education at the university level. d. transitioning of nursing from one educational level to the next.
For which respiratory assessment test or procedure should you check to determine whether an informed consent signature has been obtained from the client before the test/procedure?
A. Measurement of oxygen saturation before and after a 12-minute walk B. Spiral computed tomography of the thorax C. Ventilation and perfusion scanning D. Thoracentesis
The nurse is preparing to administer the corneal light reflex test. Which does the test assess in the patient?
1) Peripheral vision 2) Visual acuity 3) Parallel alignment and ocular muscles 4) Trigeminal nerve