The nurse notifies the healthcare provider of the client's status. The healthcare provider comes to the bedside to evaluate the client.
Which should the nurse do? Select all that apply.
Set up supplemental oxygen delivery
Suggest a different ventilator mode to the provider
Place a nasogastric tube
Increase the fraction of inspired oxygen
Set the ventilator to give mandatory breaths
Gather supplies for extubation
Correct Answer : A,F
A. After successful weaning, the client will need supplemental oxygen via nasal cannula or face mask to ensure continued oxygenation post-extubation.
B. The current weaning process is progressing as expected with pressure support decreasing steadily. There is no indication that a different ventilator mode is necessary at this time.
C. There is no indication in the scenario that the client requires a nasogastric tube for ventilation weaning or extubation.
D. The fraction of inspired oxygen (FiO₂) is currently at 35%, which is appropriate during the weaning process. Increasing FiO₂ without indication could disrupt the weaning progression.
E. The weaning process is designed to gradually reduce support. Adding mandatory breaths would counteract the progress made in reducing ventilatory support.
F. The client has been weaned to minimal ventilatory support, which suggests the healthcare provider may plan for extubation. Having supplies ready will facilitate a smooth extubation process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Notifying the healthcare provider of abdominal pain is important, as exenatide can cause gastrointestinal side effects that may require medical evaluation.
B. This statement is misleading; exenatide does have interactions with other medications that need to be monitored.
C. Exenatide should be injected within 60 minutes before meals, not 30 minutes before or after.
D. While exenatide lowers blood glucose, it does so differently than insulin, as it also promotes insulin secretion and slows gastric emptying.
Correct Answer is C
Explanation
A. This statement is incorrect; exercise can significantly affect blood glucose levels by improving insulin sensitivity and helping with glycemic control.
B. Soaking feet in hot water is not recommended as it can lead to burns or injuries, especially in individuals with reduced sensation.
C. Limiting alcoholic beverages to 1-2 per day is generally acceptable for most individuals with diabetes, as long as it is done cautiously and with food to prevent hypoglycemia.
D. While keeping wounds covered is important, simply using antibiotic ointment may not be sufficient, and proper wound care should be emphasized.
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