The nurse is implementing activities to optimize oxygenation for a patient diagnosed with a traumatic brain injury. Which of the following interventions would be appropriate for this patient?
1. keep oxygen saturation level to 88%
2. elevate head of bed to 20 degree angle
3. report a hemoglobin level of less than 10 gm/dl
4. turn and reposition every 4 hours
3
Rationale: The nurse should monitor for manifestations of inadequate cerebral oxygenation to include hemoglobin and hematocrit levels. A hemoglobin level of less than 10 gm/dl should be reported. This is the intervention that would be appropriate for this patient. Oxygen saturation levels should be at 92% or higher. The head of the bed should be elevated to a 30 degree angle. The patient should be turned and repositioned every 2 hours.
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According to census data, the divorce rate per 1,000 total population is which of the following?
a. 3.5 c. 11.9 b. 7.1 d. 18.2
Which symptom in the newborn is most characteristic of choanal atresia?
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A mother asked the nurse about administering Ipecac syrup in the event of an accidental poisoning of one of her children: The nurse's best response would be:
a. "Ipecac is a long-standing treatment and is still used as a standard." b. "You should not administer Ipecac; the staff in the ED will do that when the child reaches the hospital." c. "Adding flavoring to the Ipecac syrup will make it taste better to the child." d. "Both poison control centers and the American Academy of Pediatrics do not endorse the use of Ipecac syrup."