A physician asks you to assist in intubating a morbidly obese 46-year-old female patient. A. When choosing between the Miller and the Mackintosh laryngoscope blades, which would be the best choice? Why? B. Are there any other considerations when intubating obese patient?
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A physician asks you to assist in intubating a morbidly obese 46-year-old female patient.
A. When choosing between the Miller and the Mackintosh laryngoscope blades, which would be the best choice? Why?
B. Are there any other considerations when intubating obese patient?
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- A client returns from surgery with a nasogastric tube and intermittent gastric suction to provide abdominal decompression. Which of the following are correct nursing activities for managing the equipment and drainage? Select all that apply. a. When irrigating the nasogastric tube, use sterile water b. Document the consistency and amount of drainage c. Wear sterile gloves when irrigating the nasogastric tube d. Wear nonsterile gloves when emptying the drainage container e. Apply water-soluble lubricant if the client’s lips are dryPlace the following guidelines for teaching a patient effective coughing in the order in which they would be performed: a. Ask the patient to “hack out” for three short breaths. b. Repeat the exercise every 2 hours while awake. c. Place the patient in a semi-Fowler’s position, leaning forward and provide a pillow or bath blanket to splint the incision. d. Ask the patient to cough deeply once or twice and take another deep breath. e. Ask the patient to take a quick breath with mouth open. f. Ask the patient to inhale and exhale deeply and slowly through the nose three times. g. Ask the patient to take a deep breath and hold it for 3 seconds.11) Which statement is FALSE about chest tube and under water seal? a. It could be used to manage both haemothorax and pneumothorax. b. C. The water bottle should be placed at a lower level than the chest to ensure best drainage. Placement of the chest tube is preferred at the fifth intercostal space with midaxillary line. d. It allows the air to re-inter the chest through the water seal.
- A nurse is administering heparin subcutaneously to a patient.What is the correct technique for this procedure?a. Aspirate before giving and gently massage after theinjection.b. Do not aspirate; massage the site for 1 minute.c. Do not aspirate before or massage after the injection. d. Massage the site of the injection; aspiration is not neces-sary but will do no harm.A 32 weeks patient is admitted to the maternity unit with severe preeclampsia. While her vital signs are being checked by the nurse she goes into convulsion, Which nursing action would be contraindicated in caring for the patient during an episode of convulsive eclampsia? a. Not leaving the client b. Keeping air passages clear of secretions c. Firmly restraining the client to prevent injury d. Having side rails up and paddedA patient who is moved to a hospital bed following throat sur-gery is ordered to receive continuous tube feedings through a small-bore nasogastric tube. Following placement of thetube, which nursing action would the nurse initiate to ensurecorrect placement of the tube?a. Auscultate the bowel sounds.b. Measure the gastric aspirate pH.c. Measure the amount of residual in the tube.d. Order radiographic examination of the tube.
- A nurse is caring for a patient who has a nasogastric tube inplace for gastric decompression. Which nursing actions areappropriate when irrigating a nasogastric tube connected tosuction? Select all that apply.a. Draw up 30 mL of saline solution into the syringe.b. Unclamp the suction tubing near the connection site toinstill solution. c. Place the tip of the syringe in the tube to gently insertsaline solution.d. Place syringe in the blue air vent of a Salem sump ordouble-lumen tube.e. After instilling irrigant, hold the end of the NG tube overan irrigation tray.f. Observe for return flow of NG drainage into an availablecontainer.Select the correct one. A nurse is administering heparin subcutaneously to a patient. What is the correct technique for this procedure? a. Aspirate before giving and gently massage after the injection. b. Do not aspirate; massage the site for 1 minute. c. Do not aspirate before or massage after the injection. d. Massage the site of the injection; aspiration is not necessary but will do no harm.An SLP is working with a patient who has flaccid dysarthria. After many weeks of therapy, the SLP has determined that a referral for a palatal lift fitting would be beneficial. Fitting of a palatal lift MOST LIKELY results in which outcome? A : Occlusion of the nares during tidal breathing B : Improvements in phonation for sustained vowels C : Production of perceptually distinct nasal consonants
- A pneumothorax occurs when air gets into the pleural cavity. Which of the following would you expect when this happens? Select all that apply.A nurse is inserting an oropharyngeal airway for a patientwho vomits when it is inserted. Which action would bethe first that should be taken by the nurse related to thisoccurrence?a. Quickly position the patient on his or her side.b. Put on disposable gloves and remove the oral airway.c. Check that the airway is the appropriate size for thepatient.d. Put on sterile gloves and suction the airway.A person, who is unconscious, not breathing, has a weak pulse, needs: Select one: a. CPR b. Heimlich maneuver c. Rescue breathing d. Back blows and chest thrusts