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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A) While wearing an N95 respirator may be necessary for certain infections, it is not a routine precaution for clients in protective isolation.
B) Ensuring the client's room has positive-pressure airflow helps prevent the entry of airborne pathogens into the room, reducing the risk of infection for the immunocompromised client.
C) Using disposable plates and utensils helps reduce the risk of cross-contamination and infection transmission but is not directly related to airborne infection control.
D) Monitoring the client's temperature is important for assessing for signs of infection, but it does not directly prevent infection transmission in the same way as positive-pressure airflow.

A. Decreased coagulation B. Proteinuria C. Decreased serum lipid levels D. Hyperalbuminemia

Correct Answer is B

Explanation

A) Nephrotic syndrome is not typically associated with decreased coagulation.

B) Proteinuria, or the presence of excessive protein in the urine, is a hallmark finding of nephrotic syndrome.
C) Nephrotic syndrome is actually associated with increased serum lipid levels.

D) Hyperalbuminemia is not typically associated with nephrotic syndrome; rather, hypoalbuminemia is more common due to loss of albumin in the urine.

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