The nurse needs to suction the adult client who has an endotracheal tube (ET). Select all suitable nursing interventions and rank the selected interventions in the correct order
1. Apply a sterile glove.
2. Premoisten the catheter.
3. Set suction to 40 mm Hg.
4. Attach catheter to suction.
5. Apply intermittent suction.
6. Provide hyperoxygenation.
1, 4, 2, 6, 5
1, 4, and 2. After setting up suction and the regulator to 80–120 mm Hg, the nurse applies a sterile glove to the sterile, dominant hand; attaches the sterile catheter to the suction; and moistens and tests the suction catheter with sterile saline solution to lu-bricate the catheter and tubing.
6. The nurse hyperoxygenates the client with 100% oxygen to prevent suction-ing-induced hypoxemia after the procedure because suctioning removes inspired air from the client airways.
5. The nurse inserts the catheter into the ET until resistance in felt, because the resis-tance is usually the bifurcation of the trachea, withdraws the catheter ½ inch, and be-gins intermittent suctioning.
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A planned quasi-experimental study using a nonequivalent control group design has several extraneous variables that threaten its internal validity. The nurse researcher's actions should be based on which understanding?
a. The results of the study will not be statistically significant. b. The random assignment of subjects to groups will nullify the intervening variables. c. The study should be strengthened by controlling intervening variables. d. Because observation rather than causation is the purpose of the study, no action is necessary.
The patient receives levodopa and carbidopa (Sinemet). What will the best teaching by the nurse include as relates to this medication?
1. Avoid drinking caffeinated beverages. 2. Take the medication with meals. 3. Take the medication on an empty stomach. 4. Take the medication with a protein food.
It is necessary to use sterile technique in all of the following situations except
A) inserting an IV needle. B) changing a surgical dressing. C) performing tracheal suctioning. D) taking vital signs.
A client at 24 weeks' gestation with hyperpigmentation of the face tearfully tells the nurse, "I have these horrible brown spots all over my face. They are so ugly!" Which nursing diagnosis would be most appropriate?
A) Impaired skin integrity B) Disturbed body image C) Ineffective coping D) Situational low self-esteem