The nurse is caring for a patient on a mechanical ventilator and the low-pressure alarm sounds. Which action by the nurse is most appropriate?
a. Assess for secretions in the airway and suction the patient.
b. Administer a sedative to the patient to prevent coughing.
c. Assess the endotracheal tube cuff to make sure it is deflated.
d. Check the ventilator tubing and reconnect if disconnected.
Question 2A patient is admitted with a diagnosis of COPD and the health care provider orders BiPAP. Which action by the nurse is appropriate?
a. Set the initial BiPAP settings at 4 to 8 cm H2O for inspiration and expiration.
b. Draw arterial blood gas (ABG) levels after the first hour.
c. Make sure the mask does not have quick-release straps.
d. Set the initial BiPAP settings at 4 to 10 cm H2O for inspiration and at 10 to 15 cm H2O for expiration.
Question 3The nurse is teaching a patient about continuous subcutaneous infusion with an insulin pump. What should the nurse include in the teaching plan?
a. Rotate the site every 1 to 2 days.
b. Place a gauze dressing over the insertion site.
c. Select an insertion site in the abdomen away from the waistline.
d. Pull the skin laterally before inserting the needle.
Question 4The prescriber orders an IV antibiotic every 8 hours. The nurse administers the medication at 0900 . The medication's onset of action is 5 minutes, peak action is 30 minutes, and duration is 6 to 24 hours.
An order for peak and trough levels is written. The nurse will have the peak level drawn at _________.
Fill in the blanks with correct word
Question 5The student nurse is preparing to administer an IV bolus medication through a small-gauge IV catheter. The student notes that there is no blood return on aspiration. Which action by the student should the nursing instructor question?
a. Checking the IV site for redness and swelling
b. Immediately stopping the IV infusion and removing the IV catheter
c. Checking to see if the IV is infusing without difficulty
d. Injecting the IV medication if no signs of infiltration
Question 6The patient is receiving vaginal suppositories for a vaginal infection. Which assessment finding by the nurse indicates a desired outcome of the treatment?
a. The patient reports pruritus and burning.
b. The vaginal walls are bright red in color.
c. White curdlike patches appear on the vaginal walls.
d. Vaginal discharge the same color of the medication is noted.
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