The nurse is caring for several patients who require oxygen therapy. The nurse anticipates an order for noninvasive positive-pressure ventilation (NIPPV) for the patients with which diagnoses? (Select all that apply.)
a. Pulmonary edema
b. Obstructive sleep apnea
c. Stroke with dysphagia
d. Congestive heart failure
A, B, D
In the cardiac patient, NIPPV reduces pulmonary edema because the increased alveolar pressure forces interstitial fluid out of the lungs and back into the pulmonary circulation. In patients who retain carbon dioxide, such as with obstructive sleep apnea, NIPPV keeps the airway open and prevents upper airway collapse. In selected patients, such as those with postpolio syndrome and other neuromuscular diseases, congestive heart failure, sleep disorders, and pulmonary diseases, NIPPV is often the treatment of choice in supporting ventilation without the hazards associated with endotracheal intubation. NIPPV is contraindicated in patients at high risk for aspiration, as after a stroke with dysphagia.
You might also like to view...
A small-for-gestational-age (SGA) infant is kept in the NICU for the management of hypothermia
The parents, who are Native American, have brought a shaman to perform a smudging ceremony for the infant, and they ask the nurse for permission to perform the ceremony. Which of the following is the most appropriate response by the nurse? A) Instructing the parents to obtain permission from higher authorities B) Admonishing the parents for practicing a smudging ceremony C) Instructing the parents to have the ceremony performed after discharge from the hospital D) Allowing the shaman to perform the ceremony without jeopardizing the infant's safety
Three children in a family, ages 7 months, 4 years, and 9 years have been tested for lead poisoning. The two younger children's tests reflect elevated lead levels and they will be undergoing treatment
The children's mother questions why her younger children were not "spared" as their older sibling was. What response by the nurse is most correct? A) "Some children are better able to metabolize toxins such as lead after exposure." B) "Your older child has a stronger liver and kidneys, which have helped her to better rid her body of the lead." C) "Younger children are often impacted because of their play behaviors place them on the floors and they often put things into their mouths." D) "It is likely your older child may have had elevated levels earlier in life but has gotten over the condition."
During a skin assessment, you notice that Mr. C., a Mexican American patient, has skin that is yellowish-brown in color. However, the skin on the hard-soft palate is a normal pink color. From this finding, you could probably rule out:
A. Pallor. B. Cyanosis. C. Diabetes. D. Iron deficiency.
Which is also known as the trade, or proprietary, name?
A. chemical name B. brand name C. generic name D. official name