The nurse is caring for a client who is intubated with an endotracheal tube and on a mechanical ventilator. The client is able to make sounds. What is the nurse's first action?
a. Check cuff inflation on the endotracheal tube.
b. Listen carefully to the client.
c. Call the health care provider.
d. Auscultate the lungs.
A
If the client has the cuff on the endotracheal tube inflated, the cuff should prevent air from going around the cuff and through the vocal cords. If the client can talk with the cuff inflated, the cuff probably has a leak, causing it to become deflated and allowing air to pass through. The risk is that the client will not receive the prescribed tidal volume.
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MC The community has a population of approximately 15,000 residents. According to the United States Census Bureau, this community is considered
A. Urban. B. Nonmetropolitan. C. Rural. D. Metropolitan.
A client who is legally blind requires vitamin B12 injections every 2 weeks and insists on self-administration. The best way to assist this client is for the nurse to:
1. Teach the spouse to draw up the medication, then the client can give the injection. 2. Make sure that the injection is scheduled during a visit, so the nurse can supervise. 3. Prefill syringes with the correct dose, so the client can use them for self-administration. 4. Schedule the client's clinic appointments in accordance with the dosing schedule, then give the injection when the client is at the clinic.
Major control over the extracellular concentration of potassium within the human body is exerted by insulin and
A) Aldosterone B) Albumin C) Progesterone D) Testosterone
The nurse is reviewing the therapist's documentation in the medical record of an assigned client who has cerebral palsy. The therapist has noted the parents may be experiencing vulnerable child syndrome
Which observation of the family unit best supports this potential diagnosis? A) The parents regularly attend a support group for parents of special needs children. B) The child has been diagnosed with pneumonia twice in the past year. C) The parents report they feel their child requires more therapy than the care team has indicated will be needed. D) The child is schooled at home with a private tutor.