The endotracheal tube of a postoperative client transferred to the post-anesthesia care unit (PACU) was removed for 5 minutes. The client develops acute inspiratory stridor with sternal retractions
Which of these actions should the nurse take immediately? a. Reinsert the endotracheal tube.
b. Reassure the client.
c. Prepare to initiate cardiopulmonary resuscitation.
d. Start oxygen via mask.
C
When a client experiences acute inspiratory stridor with sternal retractions, it is an indication of respiratory distress. The nurse cannot replace the endotracheal tube and must be prepared to initiate cardiopulmonary resuscitation (CPR). The surgeon or anesthesiologist should be notified immediately.
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The minimal amount of voltage required from a pacemaker to initiate a consistent capture is known as the
A) stimulation threshold. B) pacing sensing. C) refractory period. D) sensing threshold.
While conducting a skin assessment the nurse suspects a patient has a communicable disease. Which statement best describes a macule?
A) Redness of the skin produced by congestion of the capillaries B) Small, circumscribed, solid elevation of the skin C) Discolored skin spot not elevated at the surface D) Small elevation of epidermis filled with a viscous fluid
List five factors that the home care assistant must consider when supervising a client's self-administration of medication.
What will be an ideal response?
The client is receiving a brand name drug and wants to change to the generic form because it is cheaper. What is the best outcome for this client?
1. Client will state two ways a brand name drug differs from a generic name drug. 2. Client will take the brand name drug after speaking with the physician. 3. Client will ask the nurse why brand name drugs are better than generic drugs. 4. Client will state two ways to obtain the medication at a reduced cost.