You are called to a residence for a ventilator-dependent child with respiratory distress. Upon your arrival, the child's mother tells you that the child was doing fine, but then suddenly began experiencing labored breathing. She further tells you that the child's home ventilator was recently replaced with a newer one. Assessment of the child reveals that she is in marked respiratory distress and has intercostal retractions. Your FIRST action should be to:
A) suction the child's tracheostomy tube to rule out secretions as the problem.
B) assess the patency of the tracheostomy tube to determine if it is dislodged.
C) remove the tracheostomy tube and replace it with a similar-sized ET tube.
D) disconnect the child from the ventilator and begin bag-mask ventilations.
Answer: D) disconnect the child from the ventilator and begin bag-mask ventilations.
You might also like to view...
A nurse manager has recently been transferred from obstetrics to pediatrics. The manager consistently stays in the office, does not relieve staff for lunches, and rarely assists staff when the unit is busy
Lately, the manager has noticed an increase in staff absences. Which options may contribute to the situation on this unit? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The manager has a lack of confidence in personal ability to provide care to pediatric clients. 2. The manager is unable to confront staff regarding absences. 3. The manger is not supervising the work of the unit. 4. The staff is consciously taking advantage of the manager. 5. The manager has a lax attitude toward absenteeism.
A female client has recently been diagnosed with bipolar disorder. Her husband asks if there is any possibility that the disease has been transmitted to their children. What is the best nursing response?
1. "Only if there is another person in your wife's ancestry who was diagnosed with this disorder." 2. "Does your wife have a twin with this disorder?" 3. "Your children's risk for developing this disorder is higher than that of the general population." 4. "We believe so, but there is no research to support our anecdotal observations."
A prescriber orders hydroxyzine [Vistaril] for a patient with acute urticaria. The nurse will include which information when teaching the patient about this drug?
a. The drug will reduce redness and itching but not edema. b. This antihistamine is not likely to cause sedation. c. The patient should avoid drinking alcohol while taking the drug. d. The patient should report shortness of breath while taking the drug.
Which of the following are strengths of leadership ethics?
a. It is timely, providing research when we need it most b. Ethical research is not part of leadership research c. Ethics is central to the leadership process d. It does not have strong research support