The client's low volume alarm on the ventilator begins to alarm after the x-ray technicians completed the routine chest x-ray. The primary nurse walks in and troubleshoots the alarm by doing which of the following? (Select all that apply.)

Assess strict urinary output on the foley catheter

Increase the positive-end expiratory pressure on the ventilator

Check endotracheal tube placement at the teeth or lip

Assess for a cuff leak on the endotracheal tube

Secure all connections from the client to the ventilator

Answer and Explanation

Correct Answer : C,D,E

A. Urinary output assessment is unrelated to ventilator low volume alarms.

B. Increasing PEEP is not a first-line action for low volume alarms and may worsen patient status if cause is not identified.

C. Checking endotracheal tube placement ensures the tube hasn't moved or become dislodged during the x-ray.

D. Assessing for a cuff leak is important because a leak can cause low tidal volumes and trigger alarms.

E. Securing all ventilator connections prevents air leaks and ensures proper ventilation.Top of FormBottom of Form

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Correct Answer is "{\"xRanges\":[73.328125,113.328125],\"yRanges\":[281,321]}"

Explanation

This is where the left dorsalis pedis artery runs and is the most distal pulse that can be palpated on the lower extremity. Assessing it helps determine adequate peripheral circulation post-procedure and ensures there is no arterial compromise due to catheterization.

A. "Dead tissue will be non-surgically removed." B. "A piece of healthy skin will be removed from an unburned area and grafted over the burned area." C. "Large incisions will be made in the eschar to improve circulation." D. "This procedure involves placing the client into a shower and removing the dead tissue."

Correct Answer is C

Explanation

A. Non-surgical removal of dead tissue is called debridement, not escharotomy.
B. Skin grafting involves transplanting healthy skin, but this is not the same as an escharotomy.
C. Escharotomy involves making large incisions through the hardened burned tissue (eschar) to relieve pressure and restore circulation.
D. Showering to remove dead tissue refers to wound cleaning, not escharotomy.

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The client's low volume alarm on the ventilator begins to alarm after the x-ray technicians completed the routine chest x-ray. The primary nurse walks in and troubleshoots the alarm by doing which of the following? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who had left femoral cardiac angiography. Identify where the nurse will palpate to assess the most distal pulse on the affected side. (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)

Correct Answer is "{\"xRanges\":[73.328125,113.328125],\"yRanges\":[281,321]}"

Explanation

A nurse in a burn treatment center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy. The client's spouse asks the nurse what the procedure entails. Which of the following nursing statements is appropriate?

Correct Answer is C

Explanation

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