A nurse is caring for a patient with a tracheostomy receivin…
A nurse is caring for a patient with a tracheostomy receiving humidified oxygen via tracheostomy collar. During assessment, the nurse notes increasing restlessness, tachycardia, coarse breath sounds, and a sudden drop in oxygen saturation from 94% to 86%. No air movement is heard through the tracheostomy tube. Which action should the nurse take first?
Read DetailsA couple whose first child required prolonged mechanical ven…
A couple whose first child required prolonged mechanical ventilation for bronchopulmonary dysplasia (BPD) is expecting another baby. They ask the nurse, “What can we do to prevent this from happening again?” Which response by the nurse is most appropriate?
Read DetailsA 5-year-old child is admitted with an acute asthma exacerba…
A 5-year-old child is admitted with an acute asthma exacerbation. The child is tachypneic and has been breathing rapidly for several hours. The nurse plans to offer oral fluids to help thin secretions and compensate for increased insensible fluid loss. Which fluid selection by the nurse is most appropriate?
Read DetailsA patient using fluticasone and albuterol for asthma reports…
A patient using fluticasone and albuterol for asthma reports a sore mouth and altered taste. Assessment reveals white plaques on the buccal mucosa that bleed slightly when scraped. Which statement by the nurse is most appropriate?
Read DetailsA nurse is assessing a 62-year-old with a 50 pack year histo…
A nurse is assessing a 62-year-old with a 50 pack year history, on the pulmonary unit. During assessment, the nurse notes the patient has an anteroposterior (AP) chest diameter equal to the lateral diameter. The patient reports chronic shortness of breath with exertion, a persistent productive cough, and occasional fatigue. Vital signs: HR 102, RR 20, SpO₂ 91% on 2 L O₂ via nasal cannula. What is the nurses priority?
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