A patient is prescribed noninvasive positive-pressure ventilation (NIPPV). How can the nurse increase the patient's comfort when using this ventilation system?
a. Administer opioid analgesics.
b. Remove the unit while the patient is sleeping.
c. Re-tape the tube to the opposite side of the mouth every 24 hours.
d. Use a skin barrier on the area where the mask comes in contact with the skin.
ANS: D
Skin irritation can occur from the NIPPV mask; an adhesive skin barrier to the areas that come in contact with the mask can help prevent irritation. C. An endotracheal (ET) tube is in the mouth, not NIPPV. B. The unit should not be removed during sleeping—the patient may hypoventilate. A. Opioids can depress respirations and are used for severe pain, not skin irritation.
You might also like to view...
An older person presents in the emergency with symptoms such as tachycardia, shortness of breath, light-headedness, and trembling. Having ruled out any physical causes, what might be the most likely discharge diagnosis seen on the chart?
a. generalized anxiety disorder b. panic attack/panic disorder c. delirium d. depression
When should the nurse first start planning for termination of the nurse-client relationship?
a. From the initial encounter b. After goals have been achieved c. When the client requests it d. During the working phase of the relationship
Transcultural issues and conflicts are more likely to arise when nurses:
a. are aware of their own bias and judgments of others. b. judge another's behavior by their own cultural values. c. understand their own cultural beliefs and values. d. avoid judging others based on preconceived ideas.
The nurse in the newborn nursery understands the importance of preventing the transmission of infection. Which of the following actions will help minimize the spread of organisms?
a. Contaminated nipples are washed carefully b. Clothing or blankets that touch the floor are dusted off before using c. Handwashing is encouraged d. Formula is prepared with the undivided attention of the staff