The nurse planning care for an intubated client includes which interventions to prevent accidental extubation? (Select all that apply.)
a. Avoid opioid analgesics to prevent confusion and sedation.
b. Do not reposition the client unless absolutely necessary.
c. Keep tubing out of the client's reach.
d. Provide adequate sedation and pain control.
e. Use wrist restraints according to hospital policy.
C, D, E
There are several suggested actions to prevent accidental extubation. See Box 63-2 for a comprehensive list. Option a is wrong because the client may need pain control and withholding analgesia is unethical. Option b is wrong because all clients need to be repositioned at least every 2 hours.
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An effect of malnutrition on respiratory function is
a. decreased surfactant. c. decreased PaCO2. b. increased vital capacity. d. tachypnea.
For which patient would the nurse expect the health care provider to continue prescribed medications during pregnancy?
1. The patient recently diagnosed with gonorrhea 2. The patient with a history of frequent asthma attacks 3. The patient with hypertension 4. The patient with frequent insomnia 5. The patient with a family history of stroke
Which nurse's statement most closely indicates paternalism?
1. "While I know you are scared, you need to consider all your options." 2. "I must follow these orders and prepare you for surgery now." 3. "The tests and blood work are completed, so the course of action is decided." 4. "If you don't understand why we are doing something, just ask questions."
The area that is surrounded by the breast bone (sternum), ribs, and spinal column is called the:
A. viscera. B. supine. C. transverse plane. D. thoracic cavity.