The client is 24 hours postoperative after a tracheostomy has been performed. You find the client cyanotic, with the tracheostomy tube lying on his chest. What is your best first action?
A. Assess the client's breath sounds bilaterally.
B. Use a manual resuscitation bag to ventilate the client.
C. Call the resuscitation team, including an anesthesiologist.
D. Attempt to reinsert the tube, taking care to use the obturator.
B
Reinsertion of the tracheostomy tube into the immature stoma at this time must be performed by a surgeon or anesthesiologist experienced with airway management. Using a manual resuscitation bag should provide enough airflow to prevent cerebral hypoxia until the emergency team arrives.
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A teenager is being seen in the outpatient clinic after a fainting episode at home. The client's body mass index (BMI) is 16, and she reports no menses for the past 3 months. Which additional assessment finding would the nurse anticipate?
A) Absence of hair on arm and legs B) Tachycardia C) Clubbing of fingers and toes D) Complaint of temperature intolerance
Nurses can help parents deal with the issue and fact of circumcision if they explain
a. The pros and cons of the procedure during the prenatal period b. That the American Academy of Pediatrics (AAP) recommends that all newborn males be routinely circumcised c. That circumcision is rarely painful and that any discomfort can be managed without medication d. That the infant will likely be alert and hungry shortly after the procedure
A client is currently pregnant; she has a 5-year-old son and a 3-year-old daughter. She had one other pregnancy that terminated at 8 weeks. Which are her gravida and para?
a. 3, 2 b. 4, 3 c. 4, 2 d. 3, 3
An adult client is admitted with acute glomerulonephritis with symptoms of fatigue, anorexia, and blood pressure of 140/94. The nurse identifies the initial goal of treatment as follows:
A) to reduce the hypertension B) providing a 5,000-calorie daily diet C) energy conservation and bed rest during the acute phase D) urinary output of at least 3,000 mL daily