A nurse is caring for a client who is receiving positive-pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications? (Select all that apply.)

Administer pantoprazole as prescribed.

Reposition the endotracheal tube to the opposite side of the mouth daily.

Verify the prescribed ventilator settings daily.

Elevate the head of the bed to at least 30°.

Apply restraints if the client becomes agitated.

Answer and Explanation

Correct Answer : A,B,D

Correct answers: A, B ,D

A. Stress ulcer prophylaxis (e.g., a PPI) is indicated for critically ill, ventilated patients to prevent GI bleeding from stress-related mucosal damage.

B. Rotating the tube and tape from side to side prevents pressure necrosis of the lips and oral mucosa.

D. Semi-Fowler’s positioning (≥30°) reduces aspiration risk and helps prevent ventilator-associated pneumonia.

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Correct Answer is ["A","B"]

Explanation

Hepatitis A is an acute viral infection that affects the liver and is transmitted by fecal-oral route. It can be spread by contaminated food or water, or by close contact with an infected person. Practicing effective hand hygiene can reduce the risk of ingesting or spreading the virus. Avoiding serving raw foods, especially shellfish, can prevent exposure to contaminated food sources.

A. Medicate for pain. B. Maintain the airway. C. Insert an indwelling urinary catheter. D. Initiate fluid resuscitation.

Correct Answer is B

Explanation

This is because inhalation injury can cause airway edema, obstruction, and respiratory failure, which can be life-threatening. The nurse should monitor the client's respiratory status, administer oxygen, and prepare for intubation if needed.

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A nurse is caring for a client who is receiving positive-pressure mechanical ventilation. Which of the following interventions should the nurse implement to prevent complications? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has hepatitis A about preventing transmission of the disease. Which is included in the teaching?

Correct Answer is ["A","B"]

Explanation

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Correct Answer is B

Explanation

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