The nurse is caring for a mechanically ventilated patient and is charting outside the patient's room when the ventilator alarm sounds
What is the priority order for the nurse to complete these actions: _______________, _______________, _______________, _______________? (Put a comma and space between each answer choice.) A. Check quickly for possible causes of the alarm that can be fixed. B. After troubleshooting, connect back to mechanical ventilator and reassess patient. C. Go to patient's bedside. D. Manually ventilate the patient while getting respiratory therapist. Fill in the blank(s) with correct word
C, A, D, B
The nurse must quickly assess the patient and determine possible causes of the alarm. If the cause is not assessed within seconds, the nurse must manually ventilate the patient and secure assistance in troubleshooting the problem. Once the problem has been corrected, the patient must be reassessed.
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A patient with mastoiditis is admitted to the post-surgical unit after undergoing a radical mastoidectomy. The nurse should identify what priority of postoperative care?
A) Assessing for mouth droop and decreased lateral eye gaze B) Assessing for increased middle ear pressure and perforated ear drum C) Assessing for gradual onset of conductive hearing loss and nystagmus D) Assessing for scar tissue and cerumen obstructing the auditory canal
Following a fall, a patient is brought to the emergency department. There was a brief loss of consciousness. The patient complains of headache, has vomited twice, has a dilated pupil on the same side as a hematoma over the temporal area,
and is currently having a seizure. What should the nurse anticipate regarding the care of this patient? 1. This is an emergency situation that is likely due to an epidural hematoma and requires surgery. 2. This is a controlled situation once the seizure stops. 3. This is a serious situation in which a subdural hematoma is developing and requires surgery. 4. This is a typical situation seen with most patients who fall and will subside with observation.
A client is to receive her third dose of carboplatin for recurrent ovarian cancer. Her weight is 143 lb and height is 66 in. Calculate the dosage of carboplatin
What will be an ideal response?
The nurse will most likely prepare a medication teaching plan about antiretroviral therapy (ART) for which patient?
a. Patient who is currently HIV negative but has unprotected sex with multiple partners b. Patient who was infected with HIV 15 years ago and now has a CD4+ count of 840/µL c. HIV-positive patient with a CD4+ count of 160/µL who drinks a fifth of whiskey daily d. Patient who tested positive for HIV 2 years ago and now has cytomegalovirus (CMV) retinitis