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The nurse is preparing to administer a narcotic analgesic to a client with a fractured femur who also has obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement?

A.

Remove dentures or other oral appliance.

B.

Elevate the head of the bed to a 45-degree angle.

C.

Lift and lock the side rails in place.

D.

Apply the client's positive airway pressure device.

Answer and Explanation

The Correct Answer is D

A.    Removing dentures or other oral appliances is not directly related to managing obstructive sleep apnea. While it may be necessary for certain procedures or assessments, it does not address the client's OSA during narcotic administration.

B.    Elevating the head of the bed to a 45-degree angle is a standard practice to prevent aspiration during narcotic administration, but it does not specifically address the client's obstructive sleep apnea.

C.    Lifting and locking the side rails in place is important for client safety but does not directly address the client's obstructive sleep apnea.

D.    Applying the client's positive airway pressure (PAP) device is crucial for managing obstructive sleep apnea, especially when administering a narcotic analgesic, which can further depress respiratory function. The PAP device helps maintain airway patency and prevent apneic episodes, reducing the risk of respiratory complications in clients with OSA.
 


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Related Questions

Correct Answer is ["0.2"]

Explanation

Step-by-step Calculation:

  1. We need to find the volume (in mL) of teriparatide that contains the desired dose of 60 mcg.
  2. Set up the proportion:

dose (mcg) / concentration (mcg/mL) = volume (mL)

  1. Fill in the known values:
    • Dose (mcg): 60 mcg (as given in the problem)
    • Concentration (mcg/mL): 750 mcg/2.4 mL (from the medication label)
  2. Solve for the volume:
    • Multiply both sides of the proportion by the concentration to isolate the volume on the left:
    • dose (mcg) = volume (mL) concentration (mcg/mL)
    • Substitute the known values:
    • 60 mcg = volume (mL) (750 mcg / 2.4 mL)
  3. Calculate the volume:
    • Divide both sides by the concentration to solve for the volume:
    • volume (mL) = 60 mcg / (750 mcg / 2.4 mL)
    • Simplify:
    • volume (mL) = (60 mcg 2.4 mL) / 750 mcg
    • volume (mL) = 0.192 mL (approximately)
  4. Rounding (optional): The problem specifies rounding to the nearest tenth. Since 0.192 is closer to 0.2 than 0.1, the rounded volume is:
  5. volume (mL) = 0.2 mL (rounded to one decimal place)

Therefore, the nurse should administer 0.2 mL of teriparatide.

Correct Answer is A

Explanation

A. Serum potassium. Insulin therapy causes potassium to move into cells, which can lead to hypokalemia. Monitoring serum potassium is critical because significant drops can lead to cardiac arrhythmias and other complications.
B. Urine ketones. While monitoring ketones is important for assessing the resolution of DKA, it is not as immediately critical as monitoring potassium levels.
C. Serum sodium. Sodium levels are important but typically do not change as rapidly as potassium levels during DKA treatment.
D. Blood urea nitrogen (BUN). BUN levels provide information about kidney function and hydration status but are less immediately critical than potassium levels in the context of insulin therapy for DKA.

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