The nurse is assessing the risk for aspiration of gastric contents into the lungs resulting in airway obstruction. The nurse identifies patients with which conditions as having increased risk? (Select all that apply.)
a. Presence of a gastrostomy feeding tube
b. History of smoking 2 packs per day for 30 years
c. Head injury with a decreased level of consciousness
d. Stroke with dysphagia
A, C, D
Conditions that increase the patient's risk for aspiration include enteral feeding tubes or other nasal or oral gastric tubes, a decreased level of consciousness, and a decreased swallowing ability.
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IVIG has been ordered for the treatment of a patient with an immunodeficiency. Which of the following actions should the nurse perform before administering this blood product?
A) Ensure that the patient has a patent central line. B) Ensure that the IVIG is appropriately mixed with normal saline. C) Administer furosemide before IVIG to prevent hypervolemia. D) Weigh the patient before administration to verify the correct dose.
An elderly client taking a nonsteroidal anti-inflammatory drug (NSAID) for gout pain is admitted to the hospital with altered mental status. As the nurse reviews drug use, the client's condition is anticipated because of:
a. naproxen. c. sulfinpyrazone. b. sulindac. d. indomethacin.
The partial bath involves washing the:
a. Face, hands, underarms, feet, and perineal area b. Face, hands, underarms, back, buttocks, and perineal area c. Face, hands, underarms, feet, buttocks, and perineal area d. Face, hands, underarms, and feet.
Neurotransmitters affect the postsynaptic membrane by binding to which structure?
a. Lipids b. Ribosomes c. Amphipathic lipids d. Receptors