The nurse, planning care for a client who is mechanically ventilated, would plan to administer medication to prevent the onset of which of the following complications?
1. Hyperglycemia
2. Hypertension
3. Stress ulcers
4. Thrombophlebitis
3
Stress ulcers are a complication of mechanical ventilation and often occur within 72 hours of illness. Prevention of stress ulcers in the mechanically ventilated client includes the prophylactic administration of proton pump inhibitors, histamine blockers, or sucralfate. Hyperglycemia and hypertension are not complications of receiving mechanical ventilation. Thrombophlebitis can occur in any client who is maintained on strict bed rest and is not necessarily being mechanically ventilated.
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A hospital administrator is involved in contract negotiations with the nursing union leaders. To resolve issues:
a. nurses should be assertive to make certain that their view predominates. b. both sides should strive to meet the inter-ests of both parties. c. the negotiator should use independent problem-solving skills. d. the budget should dictate the conditions of the negotiation.
Because the psychosocial assessment includes many more personal aspects of the client's history, the most significant variable that may affect the quality and usefulness of the collected data is the
a. nurse's ability to establish a therapeutic relationship. b. nurse's difficulty in differentiating normal from abnormal. c. reluctance of most clients to share information with health care providers. d. value the client places on the health interview.
The nurse is reviewing the assessment findings of a patient who is 35 weeks' gestation. Which of the following data suggests the need for further investigation?
1. Melasma gravidarum 2. Pseudoanemia 3. Funic souffle 4. Glycosuria
The home care nurse is completing the admission visit for a new client. During this visit, the nurse should complete an assessment of the client's condition, perceptions, family and family support, a physical assessment, and
A) family satisfaction with medical services. B) satisfaction with service. C) community engagement. D) financial assessment.