You are a critical care nurse admitting a patient in myasthenic crisis to the ICU. You know that the most important aspect in the immediate management of this patient is what?
A) Suctioning secretions
B) Arterial blood gas analysis
C) Providing ventilatory assistance
D) Tube feedings
Ans: C
Feedback: Providing ventilatory assistance takes precedence in the immediate management of the patient with myasthenic crisis. It may be necessary to suction secretions and/or provide tube feedings, but they are not the priority for this patient. ABG analysis will be done; again this is not the priority.
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The mother of a hospitalized toddler states, "He cries when I visit. Maybe I should just stay away." What is the nurse's best response?
a. "Perhaps you are right. He only gets upset when you have to leave." b. "It is important that you are here. This is a common reaction in children when they are separated from their parents." c. "It might be easier for your child if you would stay with him, but this decision is up to you." d. "We take good care of him and he seems fine when you are not here."
When learning of the diagnosis of a deep vein thrombosis, a client states, "If it is God's will, I will get better." Which would be the most important nursing intervention in order to provide spiritually competent care?
a. Notify the physician immediately. b. Convey respect for the client's belief. c. Tell the client they shouldn't give up. d. Further assess the client's knowledge of the disease.
A client taking lithium has been altering the daily intake of sodium to reduce high blood pressure. What should the nurse realize this client is at risk for developing? (Select all that apply.)
a. Hypocalcemia b. Increased risk of lithium toxicity c. Increased urinary losses of lithium d. Increased urinary losses of magnesium e. Increased lithium reabsorption in the kidneys
Name the core public health functions
What will be an ideal response