A nurse who works in a critical care setting is caring for an adult female patient who was diagnosed with acute respiratory distress syndrome (ARDS) and promptly placed on positive-end expiratory pressure (PEEP)
When planning this patient's care, what nursing diagnosis should be prioritized?
A) Impaired gas exchange
B) Risk for aspiration
C) Acute pain
D) Anxiety
A
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The student nurse is assisting an elderly patient to get ready for bed. The patient states, "Please make sure you clean my hearing aids
" The student nurse knows it is important to keep in mind which of the following when cleaning a hearing aid? a. Keep the battery in the machine when turned off. b. Store the hearing aid on the overnight table for easy access at night. c. Clean the hearing aid with hot water. d. Use a soft dry cloth to wipe the hearing aid.
A family member asks the nurse to witness the signing of a Living Will at the bedside of a mentally competent, alert, adult patient. In signing as a witness, the nurse is stating:
a. the signature of this person was valid and not coerced b. the person was mentally competent to sign c. the person is terminally ill at the time d. a and b only
A health care provider prescribes sertraline (Zoloft) PO, 50 mg, daily, for a child with depression. The medication label states: "Sertraline (Zoloft) oral concentrate, 20 mg/1 ml." The nurse prepares to administer one dose. How many milliliters
should the nurse prepare to administer one dose? Fill in the blank. Record your answer to one decimal place.
Which assessment question is most important for the nurse to ask a patient who is prescribed clonazepam (Klonopin) before administering the first dose?
a. "Do you smoke cigarettes?" b. "How many seizures do you have daily?" c. "Have you ever had high blood pressure?" d. "Do you currently have an open sore or signs of an infection?"