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 C

Explanation

A. Weight loss is not a typical sign of organ rejection.
B. Insomnia is not a common manifestation of rejection.
C. Oliguria (decreased urine output) can indicate kidney transplant rejection due to impaired kidney function.
D. A normal or low temperature is not indicative of rejection; fever would be more concerning.

A. Active bleeding B. Altered respirations C. Facial asymmetry D. Soft-tissue edema

Correct Answer is B

Explanation

A. Active bleeding is important but airway and breathing take precedence.
B. Altered respirations indicate airway compromise or respiratory distress, which is the most critical priority to assess and manage first.
C. Facial asymmetry is a sign of injury but less urgent than airway or breathing problems.
D. Soft-tissue edema can impair breathing but is secondary to immediate respiratory assessment.

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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 is 2 weeks postoperative following a kidney transplant. Which of the following manifestations should the nurse Identify as possible organ rejection?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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