The nurse reviews the electronic medical record for a patient scheduled for a total hip replacement. Which assessment data shown in the accompanying figure increase the patient's risk for respiratory complications after surgery?
a. Albumin level and recent weight loss
b. Mild confusion and recent weight loss
c. Age and recent arthroscopic procedure.
d. Anemia and recent arthroscopic procedure
Question 2Which actions should the nurse initiate to reduce the risk for ventilator-associated pneumonia (VAP) (select all that apply)?
a. Obtain arterial blood gases daily.
b. Provide a sedation holiday daily.
c. Elevate the head of the bed to at least 30.
d. Give prescribed pantoprazole (Protonix).
e. Provide oral care with chlorhexidine (0.12) solution daily.
Question 3During the primary assessment of a victim of a motor vehicle collision, the nurse determines that the patient is breathing and has an unobstructed airway. Which action should the nurse take next?
a. Palpate extremities for bilateral pulses.
b. Observe the patient's respiratory effort.
c. Check the patient's level of consciousness.
d. Examine the patient for any external bleeding.
Question 4During change-of-shift report on a medical unit, the nurse learns that a patient with aspiration pneumonia who was admitted with respiratory distress has become increasingly agitated. Which action should the nurse take first?
a. Give the prescribed PRN sedative drug.
b. Offer reassurance and reorient the patient.
c. Use pulse oximetry to check the oxygen saturation.
d. Notify the health care provider about the patient's status.
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