The patient is placed on mechanical ventilation. After the initial settings have been applied, the nurse should watch for which of the following complications? (Select all that apply.)
a. Signs of decreased cardiac output
b. Tension pneumothorax
c. Pneumonia
d. Failure to wean
A, B, C
Multiple complications are associated with positive-pressure ventilation: decreased cardiac output, aspiration, tension pneumothorax, bronchospasm, laryngeal trauma, sinusitis, and ventilator-associated pneumonia. Failure to wean is not a major factor in starting the use of a ventilator; however, as the length of time needed for mechanical ventilation increases, the risk for failure to wean from the ventilator is increased.
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A prescriber writes a medication order for aspirin grains x p.o. p.r.n. temperature > 101°F. The nurse converts from the apothecaries' system to the metric system, yielding the correct dose of: Standard Text:
What will be an ideal response?
A client requests a minister to perform a healing ritual during her hospitalization for preterm labor. The nurse should:
a. determine if the practice is harmful to the current medical treatment b. discuss with the client the lack of positive benefits associated with this practice c. recommend this practice be done outside of the hospital environment d. permit any ritual or symbolic healing system desired by the client
The client has had angiography with the entrance site in the left femoral artery. Two hours after the procedure, the nurse is unable to palpate the left pedal pulse. What is the nurse's best action?
A. Elevate the left leg and apply a sandbag to the entrance site. B. Increase the flow rate of the intravenous fluids. C. Notify the physician. D. Document the finding.
A nurse has worked to teach patients disease prevention strategies and is frustrated by the low level of compliance. This nurse would most likely conclude that
a. it is hard to convince people that they can attain higher wellness levels. b. most people have very low levels of motivation to make changes. c. patients do not like being told that good health requires deprivation. d. the information being given is too difficult for patients to follow.