Which of the following interventions would be appropriate for a client who is being mechanically ventilated? (Select all that apply.)
1. Secure artificial airway.
2. Auscultate lungs every 4 hours and as needed.
3. Monitor endotracheal tube cuff pressure once per shift.
4. Provide alternative form of communication.
5. Apply vest and wrist restraints.
6. Monitor arterial blood gas analysis results and adjust ventilator as needed.
1, 2, 3, 4, 6
Nursing interventions appropriate for a client being mechanically ventilated include secure artificial airway, auscultate lungs every 4 hours and as needed, monitor endotracheal tube cuff pressure once per shift, provide alternative form of communication, monitor arterial blood gas analysis results, and adjust ventilator as needed. Soft wrist restraints can be applied if necessary. A vest restraint is not necessary.
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The community health nurse observes an increase in the development of tuberculosis strains resistant to drug therapy. On an individual level, a major reason for this would most likely be:
A) Thinking that TB is no longer a problem B) A reduction in funding for surveillance and research C) Noncompliance with the full course of prescribed therapy D) Decline in rates of TB over the last few decades
The home mental health nurse visits a female client to assess her ability to care for herself at home after discharge from an inpatient setting. Which component of the case management system does this demonstrate?
a. Consultation b. Crisis intervention c. Resource linkage d. Psychosocial rehabilitation
All of the following about the plan-do-study-act (PDSA) model as a method of quality improvement are true EXCEPT
A. Changes can be made on a small scale. B. PDSA should be used primarily by nurse managers. C. PDSA was made popular by W. Edward Demings. D. Impact of change can be determined quickly.
Which method is best to use for lotion application?
a. Avoid shaking lotion to prevent bubble formation. b. Apply lotion heavily as the water from lotion evaporates. c. Wash off residue before applying fresh lotion. d. Apply a scant film of lotion on eyelids and in the nose.