A patient who has been extubated postoperatively is retaining carbon dioxide. To avoid reintubating this patient the nurse would expect to manage which intervention?
1. Insertion of an oral airway
2. Insertion of a nasal airway
3. Use of noninvasive intermittent positive pressure ventilation (NIPPV)
4. Use of continuous positive airway ventilation (CPAP)
Answer: 3
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The clinical educator of a hospital medical unit has the mandate of establishing evidence-based practice guidelines for the nursing care on the unit. Which of the following statements most accurately captures a guiding principle of the nurse's task?
A) Evidence-based practice guidelines will be rooted in research rather than nurses' subjective practice preferences and experiences. B) Guidelines are synonymous with systematic research reviews. C) The need for continuity and standardization of guidelines will mean that they will be fixed rather than changeable. D) The guidelines will combine individual expertise with external systematic evidence.
Although a 3-month-old infant's height and weight measurements fall below the 5th percentile, the nurse is not concerned about the development of failure to thrive (FTT)
Which information about this child assisted the nurse to make this decision? A) The infant eats an appropriate amount each day. B) The child sleeps the whole night through. C) The parents socialize two nights a week. D) The child is of Asian-American descent.
A prominent sign for about half of the clients with systemic lupus erythematosus is a red, butterfly-shaped rash on the face over the bridge of the nose and the cheeks
Indicate whether the statement is true or false
A 1-year-old child is scheduled to receive an IV line. The most appropriate type of restraint to use for this client to prevent removal of the IV line would be a(n):
1. Wrist restraint 2. Jacket restraint 3. Elbow restraint 4. Mummy restraint