Helping him communicate
Keeping his airway patent
Encouraging him to perform activities of daily living
Preventing him from developing an infection
Place the end of the chest tube in a container of sterile saline.
Apply an occlusive dressing and notify the physician.
Clamp the chest tube immediately.
Secure the chest tube with tape.
5 to 60 seconds.
5 to 20 minutes.
30 to 40 minutes.
45 to 60 minutes.
PH 5.0; PaCO2 30 mm Hg
PH 7.40; PaCO2 35 mm Hg
PH 7.35; PaCO2 40 mm Hg
PH 7.25; PaCO2 50 mm Hg
Hyperglycemia and glycosuria.
Acute adrenocortical insufficiency.
Restlessness and seizures.
Activity intolerance related to fatigue.
Anxiety related to actual threat to health status.
Risk for infection related to retained secretions.
Impaired gas exchange related to airflow obstruction.
Immediately before a meal
At least 2 hours after a meal
When bronchospasms occur
When secretions have mobilized
Restricting fluid intake to 1,000 ml/day
Enforcing absolute bed rest
Teaching the client how to perform controlled coughing
Administering prescribed sedatives regularly and in large amounts
A positive reaction indicates that the client has active tuberculosis (TB).
A positive reaction indicates that the client has been exposed to the disease.
A negative reaction always excludes the diagnosis of TB.
The PPD can be read within 12 hours after the injection.
Respiratory rate of 22 breaths/minute.
Dilated and reactive pupils.
Urine output of 40 ml/hour.
Heart rate of 100 beats/minute.
7 to 7.49
7.35 to 7.45
7.50 to 7.60
7.55 to 7.65
Fluid intake for the last 24 hours.
Baseline arterial blood gas (ABG) levels.
Prior outcomes of weaning.
Electrocardiogram (ECG) results.
Administer a prescribed decongestant.
Instruct the client to breathe into a paper bag.
Offer the client fluids frequently.
Administer prescribed supplemental oxygen.
Partial pressure of arterial oxygen (PaO2)
Partial pressure of arterial carbon dioxide (PaCO2)
Encouragement of coughing.
Use of cooling blanket.
Measuring and documenting the drainage in the collection chamber.
Maintaining continuous bubbling in the water-seal chamber.
Keeping the collection chamber at chest level.
Stripping the chest tube every hour.
Drinking more than 1,500 ml of fluid daily.
Eating a high-protein snack at bedtime.
Eating more than three large meals a day.
1 to 2 mcg/ml
2 to 5 mcg/ml
5 to 10 mcg/ml
10 to 20 mcg/ml
Vancomycin should be infused over 60 to 90 minutes in a large volume of fluid.
Vancomycin may cause irreversible neutropenia.
Vancomycin should be administered rapidly in a large volume of fluid.
Vancomycin should be administered over 1 to 2 minutes as an I.V. bolus.
Type 1 diabetes mellitus.
Encouraging the client to drink three glasses of fluid daily.
Keeping the client in semi-Fowler’s position.
Using a high-flow Venturi mask to deliver oxygen as prescribed.
Administering a sedative as prescribed.
It increases inspiratory muscle strength.
It decreases use of accessory breathing muscles.
It prolongs the inspiratory phase of respiration.
It helps prevent early airway collapse.