The client being mechanically ventilated has become more restless over the course of the shift. What is the nurse's best action?
A. Darken the room and ask visitors to leave.
B. Document the observation as the only action.
C. Administer a dose of pain medication or sedative.
D. Check the client's oxygen saturation by pulse oximetry.
D
Increasing restlessness in a client being mechanically ventilated may mean that the client is not receiving sufficient oxygen and may be air hungry. It can also be a manifestation of pain. When in doubt, determining the adequacy of ventilation has the highest priority.
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Which one of the following statements regarding postoperative nutrition is correct?
A. Clients may have water on awakening from major surgical procedures. B. Clear liquid diets are provided for 2—3 days following minor surgical procedures. C. Soft diets are initiated the first postoperative day for major surgical conditions. D. Clear liquids are started after bowel sounds have returned for major surgical procedures.
The murmur of a ventricular septal defect (VSD) occurs when the ventricle contracts and blood flows from the left ventricle into the right ventricle. This creates a ____ heart murmur
A. Holodiastolic B. Early diastolic C. Holosystolic D. Late systolic
A patient is to receive nitroglycerin (Tridil) 10 mcg/min. The medication strength is 50 mg/250 mL. The IV rate should be ________________ mL/min
Record your answer rounding to the nearest whole number.
A 28-year-old client has requested help in obtaining financial assistance for her children's health care costs. She says she has a friend who is receiving Medicaid benefits and asks the nurse to explain more about Medicaid
Which one of the following provides the best answer for the nurse to use when describing Medicaid? a. Medicaid is financial assistance to pay hospital costs for the poor, medically needy, aged, disabled, and their dependent children and families. b. Medicaid provides hospital insurance and supplemental medical insurance for people over age 65, disabled people receiving social security benefits, and those in end-stage renal disease. c. Medicaid provides for only a portion of payments made by state welfare to health care agencies for the poor, medically needy, aged, disabled, and their dependent children and families. d. Medicaid provides for hospital costs only for people over age 65, disabled people receiving social security benefits, and those in end-stage renal disease.