A nurse is implementing the ventilator care bundle for a client who is receiving mechanical ventilation. Which of the following should the nurse expect to find in the bundle?
Instructions on how to change ventilator settings
Instructions on mouth care
Instructions to suction the client’s tracheostomy every 2 hr
Instructions to place the client in a supine position
The Correct Answer is B
A. Instructions on how to change ventilator settings:
Ventilator settings are typically adjusted by respiratory therapists or healthcare providers based on the client's respiratory status. While nurses may be involved in monitoring, changing ventilator settings is not part of the routine nursing care bundle.
B. Instructions on mouth care
Mouth care is an important component of the ventilator care bundle to prevent ventilator-associated pneumonia (VAP). Proper oral hygiene, including regular mouth care, can help reduce the risk of infection.
C. Instructions to suction the client’s tracheostomy every 2 hr:
Suctioning frequency is determined based on the client's needs and is not a fixed component of the ventilator care bundle. Suctioning is performed as necessary to maintain airway patency.
D. Instructions to place the client in a supine position:
The positioning of the client may be individualized based on the clinical condition. However, placing the client in a supine position is not a fixed component of the ventilator care bundle. The emphasis is on practices that prevent complications associated with mechanical ventilation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Right Circumstances:
This involves ensuring that the tasks being delegated are appropriate for the circumstances and consistent with the plan of care. The nurse should consider factors such as the client's condition, the complexity of the task, and the stability of the client's health status.
B. Right Communication:
Effective communication is crucial in delegation. This includes clear and concise instructions, expectations, and a feedback loop. The nurse should ensure that communication is understood and acknowledged by both parties involved in the delegation.
C. Right Supervision:
Right Supervision involves providing guidance, direction, and feedback to those to whom tasks have been delegated. The nurse is responsible for overseeing and ensuring that the tasks are performed appropriately, meeting the required standards of care. This includes ongoing monitoring and assessment of delegated tasks.
D. Right Person:
The right person involves selecting the appropriate individual for the task based on their competence, knowledge, and skills. The nurse must assess the competency of the person being delegated to and ensure that they have the necessary qualifications to perform the assigned task
Correct Answer is D
Explanation
A. Metabolic alkalosis with full compensation:
This is not the correct interpretation. Metabolic alkalosis is characterized by an elevated pH and elevated bicarbonate (HCO3-) levels. In this case, the pH is low (acidosis), and the bicarbonate level is within the normal range, suggesting a respiratory issue rather than a metabolic one.
B. Respiratory alkalosis with partial compensation:
This is not the correct interpretation. Respiratory alkalosis is characterized by an elevated pH and decreased PaCO2. In this case, the pH is low (acidosis), and the PaCO2 is elevated, indicating respiratory acidosis rather than alkalosis.
C. Metabolic acidosis with partial compensation:
This is not the correct interpretation. Metabolic acidosis is characterized by a low pH and decreased bicarbonate (HCO3-) levels. In this case, the bicarbonate level is within the normal range, and the elevated PaCO2 suggests a respiratory issue, not metabolic acidosis.
D. Respiratory acidosis with no compensation:
This is the correct interpretation. Respiratory acidosis is characterized by a low pH and an elevated PaCO2. The normal bicarbonate level indicates that compensatory mechanisms (such as the kidneys increasing bicarbonate reabsorption) have not fully corrected the pH imbalance, leading to respiratory acidosis with no compensation.
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