Which of the following actions should the nurse plan to take? It might help me to listen to music while I'm lying in bed. Guideline: Additional Information. The development of this nursing guideline was coordinated by John Kemp, Nurse Educator, Sugar Glider, and approved by the Nursing Clinical Effectiveness Committee. A nurse is educating a client who has a terminal illness about her request to decline resuscitation in her living will. B. reposition the elastic band frequently. A nurse working in the emergency department is witnessing the signing of informed consent forms for the treatment of multiple clients during her shift. A RN is reviewing data in a client's medical record. As you can see, some of these devices are invasive, while others are not. Which of the following actions should the nurse take? A nurse is performing a Romberg's test during the physical assessment of a client. Which of the following findings at the IV site should the nurse identify as infiltration? Due to this the following rules should be followed: Oxygen cylinders should be secured safely to avoid injury. American Association for Respiratory Care. (2014). The humidifier should always be placed at a level below the patient's head. AARC Clinical Practice Guideline: oxygen therapy for adults in the acute care facility—2002 revision & update. A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. A nurse is performing a family assessment for a client who has recently developed paraplegia following a stroke. & Boyer, A. RT330 circuit - click here for instructions for use). patients - Oxygen therapy is the term we use for the clinical use of supplemental oxygen. Junior Mode – requires Junior Tube and Chamber Kit, Standard Mode – requires standard Tube and Chamber Kit, 2 LPM in infants/children under 2 years of age. A nurse is providing home care for a client who is receiving tube feedings and medication through a gastrostomy tube. Which of the following actions should the nurse take? An orange traffic light confirms the AIRVO 2 has not been cleaned and disinfected since last use, and is not safe for use on a new patient. Which of the following actions should the nurse plan to take?

Ralston, S.L., Lieberthal, A.S., Meissner, H.C., Alverston, B.K., Baley, J.E., Gadomski, A.M., Johnson, D.W., Light, M.J., Maraqa, n.F., Mendonca, E.A., Phelan, K.J., Zorc, J.J., Stanko-Lopp, D., Brown, M.A., Nathanson, I., Rosenblum, E., Sayles III, S. & Hernandez-Cancio, S. (2014) Pediatrics. Note: Some flow meters may deliver greater than the maximum flow indicated on the flow meter if the ball is set above the highest amount. For which of the following practices should the nurse intervene? June, Vol.97, Issue 9, pg827-830, Ricard, J. Press the skin barrier against the client's skin for 30 seconds. The family member washes out the feeding bag with warm water once every 24 hr. Which of the following actions should the nurse take? Continuous pulse oximetry for 30 minutes post cessation of oxygen therapy (Round the answer to the nearest whole number. BP may be elevated early on and then become markedly decreased if the hypoxic insult is severe. A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Tell the client to keep the head of the bed elevated at least 30 degrees. RN is preparing to assess a client's cardiac function by auscultating heart sounds at the cardiac landmarks. Have the client stand with her arms at her side and her feet together. RCNi Portfolio and interactive CPD quizzes, RCNi Learning with 200+ evidence-based modules, 10 articles a month from any other RCNi journal. Supplemental oxygen relieves hypoxaemia but does not improve ventilation or treat the underlying cause of the hypoxaemia. Which of the following responses should the nurse make? By clicking any link on this page you are giving your consent for us to set cookies. A charge nurse is supervising a newly licensed nurse change the bed linens for a client who is on contact precautions. Which of the following recommendations should the nurse include? Ensure straps and tubing are away from the patient's neck to prevent risk of airway obstruction. A nurse is calculating a client's fluid intake over the past 8 hr. Wolters Kluwer Health, Inc. All rights reserved. A nurse has accepted a verbal prescription for three tenths of a milligram of levothyroxine IV stat for a client who has myxedema coma. Which of the following changes should the nurse identify as an indication that the treatment was successful? A nurse is teaching a client about dietary management of hypercholesterolemia. A nurse is performing medication reconciliation with a client. Oxygen therapy - delivery of oxygen at a higher concentration than room air (at a higher FiO2) - is used to treat hypoxia, which is a condition of very low concentration of oxygen in the tissue. Make sure you're familiar with your facility's equipment. Your message has been successfully sent to your colleague. Which of the following statements should the nurse make? A nurse is caring for a client who has a respiratory infection. {{courseNav.course.topics.length}} chapters | The minimum flow rate through any face mask or tracheostomy mask is 4 LPM as this prevents the possibility of CO2 accumulation and CO2 re-breathing. A nurse is assessing a client who has required bed rest for the past month. A nurse is evaluating a client's use of a cane. A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following food items should the nurse remove from the client's breakfast try? Which of the following actions should the nurse take? Gently shake the container of the medication prior to administration. A client who has an IV infusion pump receives an additional 250 mL of IV fluid. A nurse is caring for a group of clients. A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new tracheostomy. Nurse caring for a client who has a respiratory infection. Which of the following actions should the nurse take? Pulse dose oxygen delivery devices and demand oxygen delivery systems have been shown to be effective in resting, exercising, and sleeping patients. Use a leading zero if it applies. Which of the following actions should the nurse plan to take? A nurse is preparing a change-of-shift report. clinical skills -

Jennifer has a master's degree in nursing and been a clinical instructor for BSN students. A nurse is planning care for a client who has dysphagia and is at risk for aspiration. Place toddlers in rear-facing car seats until they are 2 years old. Lung diseases, including asthma, COPD, bronchitis, pneumonia, trauma etc.

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