A nurse is caring for a client who is receiving

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19. A nurse is caring for a client who is receiving mechanical ventilation. Which of the following interventions should the nurse implement? (D) page 208-209 not sure which answer Empty water from the ventilator tubing daily . ( -INFECTION CONTROL: water that collects in the ventilator tubing can create a breeding ground for bacteria which may lead to VAP. Suction the client’s airway every 4 hr. ( Suction every 2 hr and as needed. p.157 ) Maintain the client in supine position. (should reposition pt to help with secretions) Perform oral care every 2 hr .( you do oral care but not every 2hrs )
20. A nurse in an emergency department is assessing a client who has cirrhosis of the liver. Which of the following is a priority finding? ( C)
21. A nurse is preparing to administer bumetanide to a client who has heart failure. Which of the following assessment findings should indicate effectiveness of the medication
c. Lung sounds clear - it is Bumex d. Apical pulse 80 Rationale: MS RM 10 Ch.32 p.198-9 23. A nurse is caring for a client who has hypertension and has a new prescription for lisinopril . The nurse should consult with the provider about which of the following medication in the client's medication administration record?
24. A nurse is planning care for a client who is 1 day postoperative following an open cholecystectomy. Which of the following interventions should the nurse include in the plan or care? a. Avoid use of anticoagulants - use it b. Place pillow under client knees - stasis danger c. Discourage leg exercises while in bed - you need it d. Apply compression stocking in lower extremities Rationale: It’s common post-op, also, resume regular activity after 4-6 wks.
25. What interferes with warfarin therapy

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