The nurse performing nasotracheal suctioning should be assessing the patient for which possible unexpected outcomes? (Select all that apply.)
a. Severe reduction in heart rate
b. Wheezing and inability to breathe
c. Reduction in oxygen saturation
d. Nasal bleeding
A, B, C, D
Nasotracheal suctioning has many risks associated with it. The most serious relate to hypoxemia, which often results in cardiac dysrhythmias, laryngeal spasm, and bradycardia (due to stimulation of the vagus nerve). Nasal trauma and bleeding can develop as the result of trauma from the suction catheter.
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A student nurse is learning about a medication that affects the autonomic nervous system. When instructing the student about the effects of this medication, the nurse will begin by explaining the basic unit of this system. What does this include?
1. The preganglionic neuron 2. The postganglionic neuron 3. The synaptic cleft 4. Norepinephrine 5. Dopamine
When a nurse refuses to compromise a client's right to privacy, even when the nurse is threatened, the nurse is expressing an ethical framework termed
A) Utilitarian B) Deontologic C) Justice D) Nonmaleficence
Costovertebral angle tenderness should be assessed whenever you suspect that the patient may have:
a. cholecystitis. b. pancreatitis. c. pyelonephritis. d. ulcerative colitis.
The nurse knows to assess for signs of medication toxicity within older adults because of which physiological change?
a. Reduced glomerular filtration b. Delayed esophageal clearance c. Decreased gastric peristalsis d. Decreased cognitive function