The client with ARDS is on a ventilator. The clients peak inspiratory pressures and spontaneous respiratory rate are increasing, and the PO2 is not improving. Using the SBAR technique for communication, the nurse calls the HCP with the recommendation for :
a. initiating IV sedation
b. starting a high protein diet
c. providing pain medication
d. increasing the ventilator rate
Ans: a. initiating IV sedation
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The client informs the nurse that he is going home in the absence of a physician's order for discharge. The priority nursing actions include which of the following? Select all that apply. Standard Text: Select all that apply
1. Require the client to wait until the physician can arrive to talk with the client. 2. Notify the physician that the client is planning to leave. 3. Have the client sign a form stating that he has been advised not to leave. 4. Notify the charge nurse or supervisor. 5. Notify the pharmacy.
A student nurse is beginning the community-based primary care rotation. The student nurse anticipates that the assignment in community-based health care will most likely be at which or-ganization?
a. An acute care hospital b. A rehabilitation hospital c. A nursing home d. A high school
An older adult client, reporting a significant loss of hearing after being involved in an explosion, asks when hearing will return. Which response by the nurse is most appropriate?
A) Surgery will help restore the hearing you have lost. B) The most common cause of hearing impairments is exposure to loud noises. C) Loud noises can cause immediate, permanent loss of hearing. D) Hearing loss attributed to loud noises is normally reversible.
The nurse is caring for the client who has stridor 30 minutes postoperatively after a thyroidectomy. Which should the nurse implement?
1. Reposition client head to open airway. 2. Apply a pressure dressing with gauze. 3. Turn the client to the recovery position. 4. Apply oxygen at 10 L/min by face mask.