Maintaining an airway would include:
Frequent vital sign monitoring including accurate blood sugars
Accurate intake and output records
Updating the patient's family on status
Head of bed 30 degrees, suctioning, oral hygiene and monitoring of respiratory status
The Correct Answer is D
Choice A: Frequent vital sign monitoring including accurate blood sugars is not a direct intervention for maintaining an airway, but rather a general measure to monitor the patient's condition and prevent complications.
Choice B: Accurate intake and output records is not a direct intervention for maintaining an airway, but rather a general measure to monitor the patient's fluid and electrolyte balance and prevent dehydration or overhydration.
Choice C: Updating the patient's family on status is not a direct intervention for maintaining an airway, but rather a supportive measure to provide information and emotional support to the patient's family.
Choice D: Head of bed 30 degrees, suctioning, oral hygiene and monitoring of respiratory status is a correct intervention for maintaining an airway, as it can reduce the risk of aspiration, infection, and obstruction of the airway.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Speech therapist is correct, as they can assess and treat the patient's swallowing function and recommend appropriate diets and feeding strategies.
Choice B: Respiratory therapist is not correct, as they can help the patient with breathing problems and oxygen therapy, but not with nutrition.
Choice C: Physical therapist is not correct, as they can help the patient with mobility and exercise, but not with nutrition.
Choice D: Social worker is not correct, as they can help the patient with psychosocial and financial issues, but not with nutrition.
Correct Answer is A
Explanation
Choice A: Corticosteroids is correct, as they can reduce inflammation and swelling in the brain by suppressing the immune system and decreasing the permeability of blood vessels.
Choice B: Antibiotics is not correct, as they are used to treat bacterial infections, not cerebral edema.
Choice C: Tylenol is not correct, as it is a pain reliever and fever reducer, not an anti-inflammatory agent.
Choice D: All of the above is not correct, as only corticosteroids can be used to reduce cerebral edema.
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