A patient is recovering from a motor vehicle accident, which has necessitated mechanical ventilation in the intensive care unit (ICU). The ICU nurse is aware that multiple nursing diagnoses are associated with mechanical ventilation.
Which of the following nursing diagnoses is a consequence of mechanical ventilation?
A) Moral Distress
B) Impaired Verbal Communication
C) Acute Confusion
D) Risk for Imbalanced Body Temperature
Question 2
A patient with sepsis is receiving care in the intensive care unit and is receiving mechanical ventilation.
The patient's acuity, decreased level of consciousness and ventilation preclude most forms of mobility and the nurse has identified a consequent risk of venous thromboembolism. What nursing intervention should the nurse specify in the patient's care plan to reduce this risk?
A) Position the patient in the Trendelenburg position every 4 to 6 hours.
B) Perform vigorous massage of patient's exposed skin surfaces each shift.
C) Apply antiembolic stockings to the patient's legs.
D) Administer subcutaneous vitamin K as ordered.
Patient with exophthalmos.
Patient Teaching Methods Cont.
Autonomic motor reflex
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