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?
Increase the client's ventilator flow rate.
Empty water from the client's ventilator tubing.
Evaluate the client for a cuff leak.
Suction the client's airway.
The Correct Answer is C
A) Increasing the ventilator flow rate may not address the cause of the low-pressure alarm and could potentially worsen the situation.
B) Emptying water from the ventilator tubing is not typically necessary when the low-pressure alarm sounds.
C) Evaluating the client for a cuff leak is essential because a leak in the endotracheal tube cuff can cause the low-pressure alarm to sound.
D) Suctioning the client's airway is not indicated unless there are signs of airway obstruction or secretions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Syphilis is a bacterial infection, so antiviral medication is not appropriate.
Treatment typically involves antibiotics, such as penicillin.
B. Cryotherapy is not a standard treatment for primary syphilis. Antibiotics are the primary treatment.
C. This is in line with the treatment guidelines for syphilis, which involve antibiotic therapy and follow-up testing to ensure the infection is fully resolved. The tests are done at 3, 6, and 12 months after completion of treatment.
D. Monitoring after medication doses may be necessary for certain medications but is not specifically indicated for primary syphilis.
Correct Answer is C
Explanation
A) This is not a standard intervention for bladder spasms post-TURP.
B) Securing the urinary catheter to the abdomen does not address the immediate issue of potential catheter blockage.
C) Performing an intermittent bladder irrigation using sodium chloride is appropriate in this case. This is because bladder spasms and a scant amount of fluid in the urinary drainage bag may indicate a blockage in the catheter. Intermittent bladder irrigation can help to remove any clots or debris that may be causing the blockage.
D) Encouraging the client to urinate is not applicable as the client cannot urinate normally due to the surgery.
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