A patient who is endotracheal intubated on mechanical ventilation has a decreasing oxygen saturation level with an increasing heart rate. Which of the following should the nurse do first?
1. auscultate lung sounds
2. reposition the endotracheal tube
3. ensure the airway is clear and patent
4. reposition the patient
3
Rationale: Airway clearance is a top-priority nursing goal in management of the patient with an artificial airway. If airway patency is not maintained, the patient's breathing and cardiovascular status eventually will fail as a result of hypoxia or hypercapnia. The other interventions can be done if clearing the patient's airway does not improve oxygenation or heart rate.
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A patient's health care provider wrote a prescription for an antibiotic for an upper respiratory infection. According to safe medication practice standards, the nurse should transcribe the order as which of the following?
a. .5 mg b. 5.0 mg c. mg d. 0.5 mg
Joanne is a 60-year-old patient with an LDL of 132 and a family history of coronary artery disease. She has already tried diet changes (increased fiber and plant sterols) to lower her LDL and after 6 months her LDL is slightly higher
The next step in her treatment would be: 1. A statin 2. Niacin 3. Sterols 4. A fibric acid derivative
An older adult is brought to the community clinic by an adult child with the concern of increasingly frequent lapses in memory. Which assessment question is most likely to identify potential risk factors for impaired cognitive functioning?
A) "What did your mother and father die of?" B) "What line of work were you in?" C) "What medications are you currently taking?" D) "Where are you currently living?"
Which of the following statements made by an older-adult client poses the greatest concern for the nurse conducting an assessment regarding the client's adjustment to the aging process?
1. "I use to enjoy dancing and jogging so much, but now I have arthritis in my knees so that it's hard to even walk." 2. "I've given my grandchildren money for college so they can live a better life than I had." 3. "Growing old certainly presents all sorts of challenges. I wish I knew then what I know now." 4. "As I age I've found its harder to do the things I love doing, but I guess it will all be over soon enough."