The nurse is caring for a client who had oromaxillary surgery a few hours ago. The client is arousable, but is still sedated following anesthesia, and sleeps deeply when not disturbed. The client's respiratory effort is adequate, but the nurse notes the c
Which airways would the nurse choose for this client?
1. Oropharyngeal airway
2. Nasopharyngeal airway
3. Endotracheal tube
4. Tracheostomy
Correct Answer: 2
Because this client had oromaxillary surgery, an oral airway would not be appropriate, so the best choice would be a nasopharyngeal airway. The client's respiratory effort is adequate, so there would be no need for the very invasive insertion of an endotracheal tube or tracheostomy.
You might also like to view...
A patient repeatedly stated, "I'm stupid." Which statement by the patient shows progress because of cognitive behavioral therapy?
a. "Sometimes I do stupid things." b. "Things always go wrong for me." c. "I always fail when I try new things." d. "I'm disappointed in my lack of ability."
A patient has been admitted to the orthopedic unit with suspected Paget's disease of the bone. What would you expect the laboratory results to show if the patient has Paget's disease?
A) Altered serum magnesium levels B) Altered serum calcium levels C) Altered serum potassium levels D) Altered serum sodium levels
A client with schizophrenia has cognitive disturbances of distractibility, attention deficit, and difficulty in remembering recent events, diminishing the ability to focus on interactions with the team
The client also has a history of suicide attempts. The nurse conducting an assessment interview states, "Don't you trust me?" How does this question affect the client? 1. It is therapeutic and values the client's feelings. 2. It reinforces the client's need to prevent self-harm. 3. It contributes to the client's sense of low self-worth. 4. It clarifies what the client can expect from the team.
What is the primary role of the LPN/LVN in the nursing process?
1. Developing a plan of care 2. Incorporating medical diagnoses into the care plan 3. Identifying appropriate nursing diagnoses 4. Collecting data