The nurse responds to a ventilator alarm and finds the patient lying in bed holding the endotracheal tube (ET). Which action should the nurse take next?
a. Activate the rapid response team.
b. Provide reassurance to the patient.
c. Call the health care provider to reinsert the tube.
d. Manually ventilate the patient with 100% oxygen.
ANS: D
The nurse should ensure maximal patient oxygenation by manually ventilating with a bag-valve-mask system. Offering reassurance to the patient, notifying the health care provider about the need to reinsert the tube, and activating the rapid response team are also appropriate after the nurse has stabilized the patient's oxygenation.
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Which of the following represent poor scholarly writing and, consequently, should not appear as they are written in a journal article? (Select all that apply.)
a. "Regretfully nobody in the control group survived past three years this is because of the continued effects of the disease process itself if untreated it is fatal." b. "Results of the study indicated that causation was directional in the A, B, F, and K groups however none were identified as impacting the final outcome." c. "We as experienced researchers cannot explain why the intervention failed in not one, but three consecutive mini-trails, numbers 5, 6, and 7, becoming suddenly effective in the subsequent twenty-three mini-trials. We checked and rechecked instrument calibrations, controlled diligently for intra-rater reliability, recomputed coefficients of change, trended all data, reentered data manually, examined the effect of sixteen potentially extraneous variables, and ultimately ended as baffled as we started." d. "The result's were a complete surprise. 44% of the control subject's experienced spontaneous remission's." e. "Attrition continued over the course of the experiment, with additive attrition of 2% in the first quarter, 5% in the second quarter, 16% in the third quarter, and 25% in the fourth. In the second year, attrition claimed another half of the sample. Data collection was suspended after the eighth quarter, since the results had limited applicability, due to extensive attrition." f. "An inadequate sample threatened to end the study. Inclusion criteria were broadened, to include those who had participated in clinical research, in the past, but there were no takers." g. "There was no way of determining who's answers had been positive on the pre-test, until the post-test was completed."
Which client is at greatest risk for the development of metabolic acidosis?
A. 56-year-old man with chronic asthma B. 36-year-old man hiking in the Canadian Rockies C. 36-year-old woman on a carbohydrate-free diet D. 56-year-old woman self-medicating with sodium bicarbonate for gastroesophageal reflux
A client who is suicidal and is withdrawing from controlled substances continues to be agitated and disruptive. When a neuroleptic medication is ordered for agitation, you question its use because you know:
a. the client is a drug abuser and may be reacting this way to get a dose of drugs b. all neuroleptics require metabolism through the liver, and drug abusers can't have neuroleptics c. chemical restraint is regarded as unethical d. the client has a right to die, if he or she so chooses
The nurse monitors the client taking octreotide acetate (Sandostatin) for acromegaly for which most frequent side effect of this medication?
1. Diarrhea 2. Dyspnea 3. Constipation 4. Bradycardia