A patient is admitted to the emergency department following a motor vehicle accident. The patient is unconscious and has a broken jaw, a broken nose, and facial lacerations
The patient's breath sounds are diminished, and the health care provider suspects atelectasis. Frequent suctioning is required to clear the airway. Oxygen saturation levels range from 70% to 75%. The nurse recognizes that this patient most likely will have which type of ventilatory device ordered?
a. CPAP
b. BiPAP
c. Nasal cannula
d. Mechanical ventilation
D
Noninvasive ventilation, including CPAP and BiPAP, is contraindicated in cardiac or respiratory arrest, nonrespiratory organ failure, facial surgery or trauma, inability to protect the airway and/or high risk for aspiration, and inability to clear secretions. A nasal cannula cannot be used with nasal obstruction from a broken nose.
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The nurse is speaking with a client who wants information regarding colorectal cancer. Which statement indicates the client understood the information presented by the nurse?
A) The risk of colorectal cancer decreases with age. B) Colorectal cancer can be detected in early stages by measuring the level of the carcinogenic embryonic antigen (CEA). C) Colorectal cancer occurs more frequently in clients who have a history of ulcerative colitis. D) Colorectal cancer has no symptoms in the early stage and there are no definitive diagnostic tests.
A medical-surgical nurse works with a patient diagnosed with a somatic symptom disorder. Care planning is facilitated by understanding that the patient will probably:
a. readily seek psychiatric counseling. b. be resistant to accepting psychiatric help. c. attend psychotherapy sessions without encouragement. d. be eager to discover the true reasons for physical symptoms.
The nurse is analyzing the diagnostic study results of a patient admitted with acute pancreatitis. What diagnostic findings are consistent with the diagnosis of acute pancreatitis?
A) Decrease in amylase and lipase levels B) Fluid and electrolyte imbalance C) Hypercalcemia D) Proteinuria
A number of techniques have been identified to assist nurses who work with staff from a different culture who speak English as a second language. Which of the following are some of these techniques? Select all that apply
a. if you feel you cannot achieve effective communication, give up b. acknowledge that your coworker's value system and perception of what "good" is may be different from your own c. appreciate the knowledge you can gain from working alongside a skilled nurse from another culture d. provide your coworker with written resources that can help reinforce your verbal communication