The nurse is caring for a client with atelectasis. Which prescription from the health care provider would the nurse anticipate to correct this problem?
1. Increase oxygen concentration
2. Increase flow rate
3. Increase tidal volume
4. Set PEEP at 6 cm H2O
Correct Answer: 4
PEEP is often used to prevent further atelectasis because it maintains open alveoli between breaths. Increasing tidal volume would not prevent airway collapse after expiration. Increasing oxygen concentration or oxygen flow rate would not impact atelectasis.
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The nurse is planning to help a middle-aged couple adjust to family structure changes. What change should the nurse explore when talking with this couple?
1. The challenge of finding careers. 2. The challenge of caring for aging parents. 3. The challenge of caring for young children. 4. The challenge of decreasing weight.
A patient tells a nurse, "My doctor thinks my problem is serious but it can be treated with medications. Does that mean I'll always have to be treated with drugs?" The nurse replies:
a. "How would you feel about being on medications for a lifetime?" b. "What concerns do you have about having a serious mental disorder?" c. "Did your doctor suggest your problem was related to neurotransmitter problems?" d. "What do you know about this condition that the doctor is preparing to treat with medications?"
The nurse has identified a priority problem on her unit. Which of the following statements is true regarding addressing a priority problem?
A) Setting priorities involves skipping interventions. B) Priorities are set at predetermined intervals throughout the shift. C) A priority problem requires a nursing intervention before another problem is addressed. D) Priority of problems is established and continued according to the nursing plan of care. E) The physician is responsible for determining priority of patient needs.
A patient who has been taking diphenoxylate with atropine (Lomotil) is very drowsy and has a respiratory rate of 10 bpm. The roommate, who brought the patient to the emergency department, states that the patient took "a whole bottle" of the drug. Which nursing action is indicated?
1. Administer a beta blocker 2. Administer naloxone 3. Administer high volume intravenous fluids 4. Administer activated charcoal