Which of the following nursing interventions would be the priority to prevent tracheal necrosis in a client with an endotracheal tube in place?
The nurse is caring for the following clients. Which client should be seen first?
A nurse is working in the recovery room and caring for a client who was just brought in following surgery. The nurse removes the client’s endotracheal tube and the client begins to have a laryngospasm. Which responses of the nurse are most appropriate? Select all that apply.
A nurse is caring for a client who experienced a head injury and is being cared for in the ICU on a ventilator. At one point during the shift, the client becomes very agitated, opens his eyes, and tries to talk. Which intervention should the nurse perform first?
A nurse is caring for a client who had a tracheostomy placed 2 days ago. The nurse enters the room and makes the following observations during a safety check. Which of the following observations would be the MOST concerning?
Select the location where the tip of the endotracheal tube should sit when a client is intubated.
A client is being seen in the emergency department after a spinal cord injury. The client initially states an inability to feel anything below the shoulders. At which point would this client need to be intubated with an endotracheal tube?
A nurse is caring for a client with an endotracheal tube. Which of the following nursing interventions is the priority to ensure a patent airway?
A nurse is caring for a client with a new tracheostomy. The client has pneumonia with a WBC count of 4.6 x 10^9/L and is receiving morphine for pain control. Which of the following precautions is the priority at this time?
A tornado warning has been issued in the hospital where a nurse is employed. The nurse works in the neonatal intensive care unit and is caring for a baby who is on a ventilator and uses nitrous oxide. Which response of the nurse would best protect this infant?
