Noting the need to use 8 ml rather than 5 ml to inflate the tracheostomy cuff sufficiently, the nurse would
a. ask the client to swallow, and then cough.
b. completely deflate the cuff to relieve the dilation.
c. notify the physician to have an x-ray film obtained.
d. replace the entire tracheostomy tube with a larger size.
C
When the nurse notes the need for greater amount of air in the cuff to create an effective seal, the nurse should report this to the physician so that a confirming x-ray film for tracheal dilation can be obtained.
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The nurse administering a lithium carbonate (Lithobid) to a child with mental retardation monitors the child for which of the following therapeutic effects?
1. Weight loss 2. Decreased agitation 3. Weight gain 4. Elevated mood
The first psychiatric program of study was established by which nursing leader? ______ _______ _________
Answer:
The nurse is checking results of a neurologic assessment on a client. Abnormal results to testing of the abducens nerve indicate the client could have difficulty with:
1. taste sensation. 2. peripheral vision. 3. adequate tear production 4. chewing food properly.
How should the nurse advise parents whose preschooler used to sleep through the night and now awakens at intervals after a short hospitalization?
a. Regressive behavior after a hospitalization is normal and usually short term. b. The child is probably expressing anger. c. Egocentric behavior often manifests itself when the child is left alone to sleep. d. The child is probably feeling pain and needs further evaluation.