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12.A patient recovering from thoracic surgery is on long-term mechanical ventilation and becomes very frustrated when he tries to communicate. What intervention should the nurse perform to assist the patient?A)Assure the patient that everything will be all right and that remaining calm is the best strategy.B)Ask a family member to interpret what the patient is trying to communicate.C)Ask the physician to wean the patient off the mechanical ventilator to allow the patient to speak freely.D)Express empathy and then encourage the patient to write, use a picture board, or spell words with an alphabet board.Ans:DFeedback:If the patient uses an alternative method of communication, he will feel in better control and likely be less frustrated. Assuring the patient that everything will be all right offers false reassurance, and telling him not to be upset minimizes his feelings. Neither of thesemethods helps the patient to communicate. In a patient with an endotracheal or tracheostomy tube, the family members are also likely to encounter difficulty interpreting the patient's wishes. Making them responsible for interpreting the patient's gestures may frustrate the family. The patient may be weaned off a mechanical ventilatoronly when the physiologic parameters for weaning have been met.Page 4
13.The physician has ordered continuous positive airway pressure (CPAP) with the delivery of a patient's high-flow oxygen therapy. The patient asks the nurse what the benefit of CPAP is. What would be the nurse's best response?14.The home care nurse is assessing a patient who requires home oxygen therapy. What criterion indicates that an oxygen concentrator will best meet the needs of the patient in the home environment?