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?
A nurse is caring for a client in the ICU who requires a ventilator. The nurse is aware that a ventilator may increase the risk of a pneumothorax in the client who uses it. Which best describes how this machine can cause a pneumothorax?
The nurse is caring for the following clients. Which client should be seen first?
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 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?
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 with an endotracheal tube. Which of the following nursing interventions is the priority to ensure a patent airway?
A client is admitted to the floor after having a tracheostomy placed 72 hours ago. Which of the following pieces of equipment is the priority to keep at the bedside at all times?
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?
After his endotracheal tube has been removed, a client develops breathing difficulties. He has wheezes upon auscultation and exhibits intercostal retractions with each breath. The nurse suspects post-extubation swelling in the airway. Which medication would most likely be administered to correct this situation?
