During the course of recovery from critical illness Peter had a tracheostomy but was eventually decannulated. Discuss the implications of this treatment for nutritional intake and recovery after ICU discharge
What will be an ideal response?
Suggested response: Prolonged intubation and tracheostomy formation can influence swallowing. Prior to oral intake recommencing Peter should have a swallowing assessment conducted by a speech language pathologist and, through interdisciplinary consultation, a decision should be made on the most appropriate type and texture of his diet.
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A) Abnormal glucocorticoid secretion pattern over the course of 24 hours B) Decreased adrenocorticotropic hormone (ACTH) levels C) Absence of glucocorticoid secretion D) Hypoglycemia
The physician writes an order for levothyroxine sodium (Synthroid) 75 micrograms. Each table contains 0.025 mg. How many tablets would you administer?
1. 300 tablets 2. 3 1/3 tablets 3. 3 tablets 4. 30 tablets
A nurse is assigned to a patient who is at 32 weeks' gestation and is receiving terbutaline (Brethine) IV for 24 hours to control preterm labor
Which of the following nursing actions will the nurse take to decrease the risk of hypotension and promote circulation to the fetus? A) Instruct the patient to lie on her back during the infusion. B) Instruct the patient to notify the nurse if she experiences palpitations. C) Instruct the patient to limit the amount of her fluid intake during the therapy. D) Instruct the patient to lie on her left side during the infusion.
The nurse is assessing a client with a severe left pleural effusion. Which of the following findings are expected? Standard Text: Select all that apply
1. Absent breath sounds on the left side 2. Tracheal shift to the right 3. Hyperresonance upon percussion. 4. Bronchial breath sounds of the right side 5. Pleural friction rub auscultated.