Chapter 29 - Critical Care of Patients with Respiratory Emergencies
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Chapter 29 - Critical Care of Patients
Institution
Chapter 29 - Critical Care Of Patients
Chapter 29 - Critical Care of Patients with Respiratory Emergencies
A nurse answers a call light and finds a client anxious, short of breath, reporting chest pain, and has a
blood pressure of 88/52 mm Hg. What action by the nurse takes priority?
a. Assess the client's lung sounds.
b. Notify...
Chapter 29 - Critical Care of Patients with Respiratory Emergencies A nurse answers a call light and finds a client anxious, short of breath, reporting chest pain, and has a blood pressure of 88/52 mm Hg. What action by the nurse takes priority? a. Assess the client's lung sounds. b. Notify the Rapid Response Team. c. Provide reassurance to the client. d. Take a full set of vital signs. B A client appears dyspneic, but the oxygen saturation is 97%. What action by the nurse is best? a. Assess for other signs of hypoxia. b. Change the sensor on the pulse oximeter. c. Obtain a new oximeter from central supply. d. Tell the client to take slow, deep breaths. A A nurse is assisting the primary health care provider (PHCP) who is intubating a client. The PHCP has been attempting to intubate for 40 seconds. What action by the nurse is best? a. Ensure that the client has adequate sedation. b. Find another qualified provider to intubate. c. Interrupt the procedure to give oxygen. d. Monitor the client's oxygen saturation. C An intubated client's oxygen saturation has dropped to 88%. What action by the nurse takes priority? a. Determine if the tube is kinked. b. Ensure that all connections are patent. c. Listen to the client's lung sounds. d. Suction the endotracheal tube. C A client with acute respiratory failure is on a ventilator and is sedated. What care may the nurse delegate to the assistive personnel (AP)? a. Assess the client for sedation needs. b. Get family permission for r estraints. c. Provide frequent oral care per protocol. d. Use nonverbal pain assessment tools. C A nurse is caring for a client on mechanical ventilation. When double checking the ventilator settings with the respiratory therapist, what would the nurse ens ure? a. The client is able to initiate spontaneous breaths. b. The inspired oxygen has adequate humidification.
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