The nurse notifies the healthcare provider of the client's status. The healthcare provider comes to the bedside to evaluate the client.
Which should the nurse do? Select all that apply.

Set up supplemental oxygen delivery

Suggest a different ventilator mode to the provider

Place a nasogastric tube

Increase the fraction of inspired oxygen

Set the ventilator to give mandatory breaths

Gather supplies for extubation

Answer and Explanation

Correct Answer : A,F

A. After successful weaning, the client will need supplemental oxygen via nasal cannula or face mask to ensure continued oxygenation post-extubation.

B. The current weaning process is progressing as expected with pressure support decreasing steadily. There is no indication that a different ventilator mode is necessary at this time.

C. There is no indication in the scenario that the client requires a nasogastric tube for ventilation weaning or extubation.

D. The fraction of inspired oxygen (FiO₂) is currently at 35%, which is appropriate during the weaning process. Increasing FiO₂ without indication could disrupt the weaning progression.

E. The weaning process is designed to gradually reduce support. Adding mandatory breaths would counteract the progress made in reducing ventilatory support.

F. The client has been weaned to minimal ventilatory support, which suggests the healthcare provider may plan for extubation. Having supplies ready will facilitate a smooth extubation process.

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Correct Answer is A

Explanation

A. Notifying the healthcare provider of abdominal pain is important, as exenatide can cause gastrointestinal side effects that may require medical evaluation.

B. This statement is misleading; exenatide does have interactions with other medications that need to be monitored.

C. Exenatide should be injected within 60 minutes before meals, not 30 minutes before or after.

D. While exenatide lowers blood glucose, it does so differently than insulin, as it also promotes insulin secretion and slows gastric emptying.

A. Assess skin condition and turgor for breakdown. B. Replace fluids IV based on intake and output. C. Record the amount of daily wound drainage. D. Turn every 2 hours around the clock from side-to-side.

Correct Answer is B

Explanation

A. While assessing skin condition is important, the priority in this case is managing fluid balance, especially after surgery.

B. Replacing fluids intravenously based on intake and output is crucial to ensure the client is adequately hydrated and to prevent complications related to fluid loss, particularly after surgery for ulcerative colitis. This is vital in maintaining homeostasis and promoting healing.

C. Recording the amount of wound drainage is important for monitoring healing, but it is secondary to managing fluid balance postoperatively.

D. Turning the client every 2 hours is important for preventing pressure injuries, but in this context, ensuring proper fluid management takes precedence.

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The nurse notifies the healthcare provider of the client's status. The healthcare provider comes to the bedside to evaluate the client. Which should the nurse do? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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The nurse notifies the healthcare provider of the client's status. The healthcare provider comes to the bedside to evaluate the client.
Which should the nurse do? Select all that apply.