The spouse of a client who is receiving mechanical ventilation via tracheostomy asks why his wife cannot have a tracheostomy button. The nurse's most informative response would be
a. "A button cannot be used with a ventilator."
b. "Buttons make the work of breathing harder."
c. "Suctioning can't be done with buttons."
d. "That would decrease your wife's oxygenation."
A
A button cannot be used with a ventilator. It is sometimes used during weaning. It replaces a standard tracheostomy tube for clients with retained secretions who do not require ventilatory assistance.
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A patient who is in the Emergency Department was attacked in a parking lot and suffered several stab wounds to various areas on the chest and abdomen; BP 100/60, heart rate 108, respiratory rate 20, pulse oximetry 98%
In order to counteract the blood loss and restore circulating volume for this patient, what priority intervention will the nurse perform? A) Start lactated Ringer's at 150 mL/hr. B) Start dopamine at 5 mcg/kg/min. C) Start an albumin infusion wide open. D) Start a unit of uncrossmatched blood.
A client with a terminal illness is being cared for at home. When caring for a client who is in home care, the nurse discusses the importance of respite care. Which of the following interventions leads to respite care?
A) Encouraging the caregiver to identify surrogate caregivers B) Emphasizing the importance of independence to the client C) Arranging for home nursing visits D) Securing home equipment
A patient asks you if the information she has shared with you will be kept confidential. Your best response is to assure her that you will
a. not share any information she has told you under any circumstances. b. share only critical medical information with physicians. c. share information with members of her care team for her benefit. d. share the information only with her primary nurse.
Medication agreements or "Pain Medication Contracts" are recommended to be used:
1. Universally for all prescribing for chronic pain 2. For patients who have repeated requests for pain medication 3. When you suspect a patient is exhibiting drug-seeking behavior 4. For patients with pain associated with malignancy