The LPN is assigned to monitor a patient with chronic lung disease who is receiving oxygen via a non-rebreathing mask. Which observation indicates to the nurse that the system is functioning as expected?
a. Both side vents open, reservoir bag inflated
b. Both side vents open, reservoir bag deflated
c. Both side vents closed, reservoir bag inflated
d. Both side vents closed, reservoir bag deflated
ANS: C
A nonrebreather mask has one or both side vents closed to limit the mixing of room air with oxygen. The vents open to allow expiration but remain closed on inspiration. The reservoir bag has a valve to store oxygen for inspiration but does not allow entry of exhaled air. It is used to deliver oxygen concentrations of 70% to 100%. A. B. D. When a patient is using a partial rebreather or nonrebreather mask, ensure that the reservoir is never allowed to collapse to less than half full.
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A patient in a critical care unit who is intubated and on mechanical ventilation has developed anemia. What nursing action has the highest priority to prevent this complication?
A) Monitor hemoglobin and hematocrit every 4 hours. B) Increase oral iron in diet. C) Reduce frequency and amount of blood samples drawn. D) Draw blood sample for type and cross-match.
After many years of providing bedside care in a variety of settings, a nurse has become involved in the leadership of the American Nurses Foundation (ANF). In this role, the nurse will be primarily involved in
A) supporting nursing research. B) enhancing the public perception of the nursing profession. C) advancing the scope of practice for registered nurses. D) lobbying for improved wages and benefits.
A pregnant client's fundal height is 26 cm at 32 weeks' gestation. Why would the healthcare provider schedule this client for sonograms every 2 weeks?
1. Evaluate fetal growth 2. Determine fetal presentation 3. Assess for congenital anomalies 4. Rule out a suspected hydatidiform mole
The nurse is providing instructions to a client being discharged on ciprofloxacin (Cipro). What should be included in the teaching?(Select all that apply.)
1. "Finish the full course of the prescription." 2. "Do not take with antacids." 3. "You might have some dizziness." 4. "Do not take with mineral supplements." 5. "Take the medication only with grapefruit juice."