What nursing consideration is important when suctioning a young child who has had heart surgery?
a. Perform suctioning at least every hour.
b. Suction for no longer than 30 seconds at a time.
c. Expect symptoms of respiratory distress when suctioning.
d. Administer supplemental oxygen before and after suctioning.
ANS: D
When suctioning is indicated, supplemental oxygen is administered with a manual resuscitation bag before and after the procedure to prevent hypoxia. Suctioning should be done only as indicated and very carefully to avoid vagal stimulation. The child should be suctioned for no more than 5 seconds at a time. Symptoms of respiratory distress are avoided by using appropriate technique.
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Which one of the nursing interventions would not be done for a client with deep vein thrombosis?
A. Heparin therapy. B. Warm, moist compresses. C. Elevate foot of bed. D. Minimal ambulation.
The nurse has just finished a parent teaching session on preventing heat-related illnesses for children who exercise. Which statement by a parent indicates understanding of preventive techniques taught?
1. Hydration should occur at the end of an exercise session. 2. Water is the drink of choice to replenish fluids. 3. Wearing dark clothing during exercise is recommended. 4. During activity, stop for fluids every 15–20 minutes.
A client has a co-occurring diagnosis of alcoholism and bipolar disorder. He was brought to the emergency department by two policemen who had broken up a fight that the client had gotten into in a neighborhood bar
The client is intrusive and verbose about having diplomatic immunity and his pressing need to tour the bistate area to promote his bid for the presidency. The client has had multiple admissions to the hospital's psychiatric unit, and he has almost always experienced alcohol withdrawal syndrome immediately after his previous admissions. Which of the following would be a priority for this client? A) Administering prescribed mood-stabilizing medications to control his delusional thinking because doing so will curtail his desire to drink B) Taking baseline vital signs and then monitoring them on an ongoing basis to ascertain if the client is exhibiting early signs of alcohol withdrawal C) Suggesting that client refrain from being intrusive and annoying others with his constant chatter about his delusional thinking D) Referring the client to an outpatient community substance abuse treatment center because his addiction has to be adequately addressed before his bipolar problems can be effectively treated
How would the nurse best describe the half life of a drug?
a. It is the time it takes for one half of the original available drug to be removed. b. It is the time it takes for the drug to reach half way to the peak level. c. It is the time it would take for a 50 mg tablet to be at 25 mgs remaining. d. It is the time it takes for the drug to be eliminated and non-effective.