The nurse caring for a client undergoing mechanical ventilation for acute respiratory distress syndrome (ARDS) plans which intervention to help maintain effective alveolar ventilation?
a. Increase the tidal volume on the ventilator.
b. Keep the client in a supine position.
c. Perform endotracheal suctioning as indicated.
d. Maintain ordered oxygen concentration.
Answer: c. Perform endotracheal suctioning as indicated.
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A pediatric clinic nurse teaches parents how to care for their toddler who has nasal congestion. What anatomical difference between children and adults is a concern with congestion in children?
A. Children this age should not have congestion. B. Larger tonsils trap mucus, leading to gagging. C. The narrow trachea can become obstructed easily. D. Phlegm can migrate into the eustachian tubes.
The nurse is reviewing the care of an 89-year-old client who is dying of a brain tumor from metastatic cancer. The client is lethargic, has slurred speech, but seems to be aware of people and surroundings
The nurse provides instruction to the nurse aide to provide oral care. What would the nurse include in the instruction to the nurse aide? 1. Use alcohol-based mouthwash to keep secretions down 2. Keep the client's dentures in at all times 3. Rinse the mouth with water and ask the patient to swish and swallow 4. Provide mouth care several times a day with a non-alcohol-based solution or water
The nurse has completed client teaching regarding medication administration. Which client statement best illustrates compliance?
1. "I'm glad to know about my medications. It makes taking them a lot easier." 2. "I already knew most of what you told me." 3. "I think you should have waited until I was ready to go home. Maybe I'd remember better." 4. "If I take my medications as prescribed, I'll feel better."
The nurse is teaching a group of parents of children of various ages how to measure a child's temperature. The nurse instructs the parents that rectal temperatures are indicated in which situation?
A) During the newborn period B) When a child is dehydrated C) When no other route is feasible D) When rapid temperature changes occur