A patient, recovering from anesthesia, is retaining carbon dioxide. In efforts to avoid reintubation, the nurse realizes that which of the following might be done?
1. Provide continuous positive airway ventilation.
2. Insert an oral airway.
3. Use noninvasive positive pressure ventilation.
4. Insert a nasal airway.
3
Rationale: In the ICU setting, noninvasive positive pressure ventilation is used for patients in acute respiratory distress as a treatment option to avoid intubation. Noninvasive positive pressure ventilation has been used successfully for patients with hypercapnic failure. Continuous positive airway pressure ventilation is most commonly used to treat obstructive sleep apnea. The insertion of an oral or nasal airway may be indicated however this will not help with the patient retaining carbon dioxide.
You might also like to view...
A nurse caring for a neonate born to observant Orthodox Jewish parents anticipates the neonate will be named by its:
a. father. b. mother. c. grandfather. d. grandmother.
The population health nurse is asked to participate on a committee to support health lifestyles for the entire family. What should the nurse suggest to support the men's health promotion needs?
1. Healthy diet and physical activity. 2. Identification of medication side effects. 3. Receiving recommended immunizations. 4. Smoking cessation and limiting alcohol intake.
A licensed practical nurse (LPN) has formulated four nursing diagnoses for her patient. The priority nursing diagnosis would be
1. Altered nutrition. 2. Risk for infection. 3. Chronic low self-esteem. 4. Ineffective airway clearance.
To administer oxygen by bag and mask to a newborn, you would position the baby
A) in Trendelenburg's position. B) on the back with the neck slightly flexed. C) on the back with the head slightly extended. D) position is unimportant as long as the tongue is pulled forward.