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- Al Strachen is a 16-year-old patient with quadriplegia and a C7 fracture caused by a diving accident. He is currently in a rehabilitation facility. He has a size 6 nonfenestrated cuffed tracheostomy tube in place. The physiatrist has requested that the nurse provide a tracheostomy adjunct to allow the patient to speak. The nurse obtained a Passy-Muir valve and attached it to the 15-mm adapter of the inner cannula. You were then called STAT to evaluate the patient for severe respiratory distress. Explain why the patient did not tolerate the procedure and what you would need to do to correct the situation.You are working in a large urban pediatric clinic after-hours. A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions. The child is in less than 10th percentile of weight and has a cardiac history of Patent Ductus Arteriosus (PDA). Born at 36 weeks gestation. Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare. T- 102.1 HR 140 RR 40 BP 83/58 Pulse ox 96% A swab for respiratory syncytial virus (RSV) is positive. Doctor orders - Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, Albuterol nebulizer in office and push po fluids as tolerated. After the albuterol neb treatment, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that she has a nebulizer at home…> A Moving to another question will save this response. Question 13 During assessment of the chest tube insertion site the nurse hears crackling when palpating around the site. What does the nurse suspect? O There is a leak in the drainage system. O There is bleeding into the tissues around the site. O There is air in the subcutaneous tissues. There is infection around the insertion site. A Moving to another question will save this response. Quest 21 étv PDF 888 Fa F5 F8
- A 60-year-old woman comes to the physician because of a 2-month history of shortness of breath and cough and a 2- week history of progressive swelling of her face. The cough is productive of approximately /4 cup of mildly blood-tinged, white-to-yellow sputum daily. She has had a 2.3-kg (5-Ib) weight loss over the past 4 months. She has a 15-year history of hypertension treated with enalaprl. She has smoked 1 pack of clgarettes daily for 45 years. Her pulse is 90/min and regular, respirations are 20/min, and blood pressure is 135/90 mm Hg. Physical examination shows edema of the face and neck and jugular venous distention. Breath sounds are mildly decreased throughout all lung fields, and there are no cardiac murmurs. Her serum sodium concentration is 125 mEq/L. Which of the following is the most likely direct cause of this patient's facial edema? A) Angioedema from angiotensin-converting enzyme (ACE) inhibitors B) Impaired cardiac filling from cardiac tamponade C) Increased vascular…A patient arrives to the Emergency Department (ED) after sustaining a gunshot wound to the chest. An intercostal catheter (ICC) is inserted for haemopneumothorax and connected to the Underwater Seal Drainage (UWSD) system.1. Explain the term haemopneumothorax 2. List two (2) risks associated with intercostal catheters 3. Provide two (2) nursing strategies with rationales that you would include to help the patient to re-expand the lungYou are working the night shift on a medical-surgical unit. You assignment includes a 19 year old woman admitted early this morning. She has sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back. Instructions Briefly discuss the following:. The client was sleeping when the fire started and managed to make her way out of the house through thick smoke. You are concerned about possible smoke inhalation. What assessment finding would corroborate this concern?
- The nurse prepares to perform the initial assessment on a school-age client. The client has an open wound infected with methicillin- resistant Staphylococcus aureus (MRSA). Which precaution will the nurse take? O Wear gloves only. O Wear gown and gloves. Wear gown, gloves, and mask. O No precautions are necessary.i need the answer quicklyWhat are the medication for congenital diaphragmatic hernia ? Thank you.