The nurse is caring for a patient who has had a craniotomy. The patient appears to need endotracheal suctioning. The nurse is aware that this can be of concern because suctioning can cause which of the following? (Select all that apply.)

a. Violent coughing
b. Aspiration of stomach contents
c. Increased intracranial pressure
d. Bradycardia or tachycardia


A, B, C, D
Sometimes suctioning provokes violent coughing, causes vomiting and aspiration of stomach contents, and induces constriction of pharyngeal, laryngeal, and bronchial muscles. In addition, suctioning may cause hypoxemia or vagal overload, resulting in cardiopulmonary compromise and increased intracranial pressure.

Nursing

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A 25-year-old woman who works as an air-traffic controller presents with facial pain and severe headache

She reports that she sometimes feels the pain in her neck or ear and that it is particularly bad during very busy times at the airport. What is the most likely diagnosis? A) Migraine headache B) Cluster headache C) Temporomandibular joint syndrome D) Sinus headache

Nursing

Which of the following is true of Maslow's basic need of self-actualization?

a. Once self-actualization is achieved, it is never lost. b. Elderly people outgrow the need for self-expression and self-development. c. Most people achieve self-actualization after all other needs are met. d. People use their abilities to the fullest extent possible and are true to their nature.

Nursing

A patient has just received a prescription for fluticasone/salmeterol (Advair Diskus). What will the nurse include as part of the teaching for this patient about the use of this device?

a. "You do not need good hand-lung coordination to use this device." b. "You will begin to inhale before activating the device." c. "You will need to use a spacer to help control the medication." d. "You will take 2 inhalations twice daily."

Nursing

Unlike arthritis, joint degeneration

a. Occurs only from noninflammatory disease. b. Occurs only from inflammatory disease. c. Involves overgrowth of bone at the articular ends. d. Affects mostly non–weight-bearing joints

Nursing