As a nurse, you know that one of the risks for a surgical patient is vomiting. What can aspirated vomitus lead to?
A) Choking
B) Hypoxia
C) Malignant hyperthermia
D) Hypothermia
Ans: B
Feedback: If the patient aspirates vomitus, an asthma-like attack with severe bronchial spasms and wheezing is triggered. Pneumonitis and pulmonary edema can subsequently develop, leading to extreme hypoxia. Vomiting can cause choking, but the question asks about aspirated vomitus. Malignant hyperthermia is an allergic reaction to anesthesia. Aspirated vomitus does not cause hypothermia.
You might also like to view...
When assessing a client's signs and symptoms of systemic lupus erythematosus (SLE) for staging, how does the nurse evaluate the stage of the disease?
A) By observing the client's gait B) By reviewing the medical record and diagnostic findings C) By inspecting the client's mouth D) By inspecting the client's lung sounds
Which task is appropriate for the nurse to delegate to a licensed practical/vocational nurse (LPN/LVN)?
a. Complete the initial admission assessment and plan of care. b. Document teaching completed before a diagnostic procedure. c. Instruct a patient about low-fat, reduced sodium dietary restrictions. d. Obtain bedside blood glucose on a patient before insulin administration.
The patient with a hemiparesis is very hesitant to transfer from the bed to the chair with a new nurse's help. Which action should this nurse take first to accomplish the transfer?
a. Explain how the transfer of the patient will be done safely. b. Ask questions about how the patient usually transfers. c. Document that the patient declined help for the transfer. d. State that the healthcare provider ordered a transfer.
After communicating with the client and family, the nurse compares a client's problem list with identified nursing diagnoses. What action is the nurse performing to minimize diagnostic errors?
1. Understanding what is normal vs. what is not normal 2. Verifying 3. Consulting resources 4. Basing diagnoses on patterns