A nurse is caring for a client who is receiving mechanical ventilation when the low-pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?

Suction the client's airway.

Empty water from the client's ventilator tubing.

Increase the client's ventilator flow rate.

Evaluate the client for a cuff leak.

Answer and Explanation

The Correct Answer is D

D. Evaluate the client for a cuff leak is the most appropriate action in response to a low-pressure alarm on the ventilator. A cuff leak can cause a drop in ventilator pressure, triggering the alarm. Assessing the client's cuff for leaks and addressing any identified issues can help resolve the alarm and ensure adequate ventilation.
A. Suctioning the client's airway is not the appropriate action in response to a low-pressure alarm on the ventilator.
B. Emptying water from the client's ventilator tubing could be a valid action to take if there is excess condensation or water buildup in the ventilator tubing causing the low-pressure alarm. However, it's not the first action to consider, as other causes should be ruled out first.
C. Increasing the ventilator flow rate may help maintain adequate pressure in the ventilator circuit and address the low-pressure alarm if the cause is related to insufficient airflow. However, adjusting the flow rate should be done cautiously and based on the client's respiratory status and ventilator settings.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["<p>Client urinating 100 mL\/hour. Client is tolerating soft diet and oral fluids<\/p>\r\n\r\n<p>Bilateral pedal pulses 2+. Blood glucose 310 mg\/dL (74 to 106 mg\/dL)<\/p>\r\n\r\n<p>Pulse rate 84\/min<\/p>\r\n\r\n<p>Blood pressure 106\/76 mm Hg<\/p>"]

Explanation

The frequency and amount of urination indicates that the body in able to utilize glucose reducing glucosuria and osmotic diuresis.

The ability to tolerate oral intake also indicates an improvement in the client’s general health

Improvement in perception of pedal pulses indicates an improvement in the hydration status of the client

A normal pulse rate and blood pressure is an indicator of optimal hydration status- an improvement from the severely dehydrated state.

The blood glucose levels is dropping indicating an improvement in the glycemic control

A. Alopecia B. Diplopia C. Oily skin D. Increased salivation

Correct Answer is A

Explanation

A. Malnutrition can lead to inadequate intake of essential nutrients, such as vitamins and minerals, which are necessary for maintaining healthy hair growth.
B. Double vision, or diplopia, is more commonly associated with neurological or ocular conditions rather than malnutrition.
C. Malnutrition may result in dry, flaky skin due to deficiencies in essential fatty acids and other nutrients.
D. While malnutrition can affect various physiological processes, increased salivation is not a common manifestation of mal

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client who is receiving mechanical ventilation when the low-pressure alarm sounds on the ventilator. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["<p>Client urinating 100 mL\/hour. Client is tolerating soft diet and oral fluids<\/p>\r\n\r\n<p>Bilateral pedal pulses 2+. Blood glucose 310 mg\/dL (74 to 106 mg\/dL)<\/p>\r\n\r\n<p>Pulse rate 84\/min<\/p>\r\n\r\n<p>Blood pressure 106\/76 mm Hg<\/p>"]

Explanation

A nurse is assessing a client who has anorexia. Which of the following findings should the nurse identify as a manifestation of malnutrition?

Correct Answer is A

Explanation

A nurse is planning care for a client who has bacterial meningitis. Which of the following interventions should the nurse implement?

A nurse enters a client's room and observes the client having a tonic-clonic seizure. Which of the following actions should the nurse take first?

A nurse is planning care for a client who has developed nephrotic syndrome. Which of the following dietary recommendations should the nurse include?

A nurse is assessing a client following extubation from a Ventilator. For which of the following findings should the nurse intervene immediately?

A nurse is reviewing the medical record of a client who has nephrotic syndrome. Which of the following findings should the nurse expect?

A nurse on the medical-surgical unit is caring for a client who has a seizure disorder. Which of the following interventions should the nurse include in the plan of care?

A nurse is providing discharge teaching for a client who has heart failure and is to start therapy with digoxin. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is planning care for a client who has a new diagnosis of acute pancreatitis. Which of the following interventions should the nurse include in the plan of care?