For a client admitted to the PACU with an oral airway in place, the nursing intervention that would be inappropriate is

a. allowing the client to spit out the airway.
b. removing the airway when the client becomes responsive.
c. suctioning the client's secretions as needed.
d. taping the airway in place so it does not fall out.


D
Airways should not be taped in place. When clients awaken and the gag reflex returns, they may spit out the airway.

Nursing

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The patient is recovering from acute pulmonary disease. The nurse is comparing his current assessment findings with older ones. What currently increased assessment finding would indicate achievement of therapeutic goals?

A) Pulmonary compliance B) Effort of breathing C) Pressure support D) Airway resistance

Nursing

The patient is a gravida 6, para 1. She is admitted after a cesarean section after an amniotic embolus. Her heart rate (HR) is more than 150 beats/min with a systolic BP less than 80 mm Hg

Her temperature is 38 °C, and her condition has caused her to develop prerenal azotemia. The patient was fluid resuscitated through a double-lumen catheter, which was placed into her right femoral access, and started on vasopressors with a fair response (BP, 80/50 mm Hg; HR, 122 beats/min). Because of her diagnosis and a concern regarding fulminating sepsis, the patient was begun on CVVH. Which of the statements best describes CVVH? a. Complete renal replacement therapy requiring large volumes of ultrafiltrate and filter replacement b. Complete renal replacement therapy that allows removal of solutes and modification of the volume and composition of extracellular fluid to occur evenly over time c. Involves the introduction of sterile dialyzing fluid through an implanted catheter into the abdominal cavity, which relies on osmosis, diffusion, and active transport to help remove waste from the body d. Complete renal replacement therapy that allows an exchange of fluid, solutes, and solvents across a semipermeable membrane at 100 to 300 mL/hr

Nursing

Which statement concerning the etiology of irritable bowel syndrome is true?

A. It is a hereditary disorder. B. It results from chronic inflammation confined to the colon and rectum. C. It is the result of an inflammatory process resulting in crater-like scarring throughout the intestinal tract. D. The exact cause is unknown.

Nursing

What is the priority nursing diagnosis for the client with nephrosclerosis?

A. Risk for Impaired Skin Integrity B. Risk for Infection C. Disturbed Body Image D. Deficient Knowledge

Nursing