The nurse, planning care for a client who is mechanically ...

[penguins]

The nurse, planning care for a client who is mechanically ventilated, would plan to administer medication to prevent the onset of which of the following complications?
 
  1. Hyperglycemia
  2. Hypertension
  3. Stress ulcers
  4. Thrombophlebitis

Question 2

A client is prescribed a bedside diagnostic test to assess pulmonary status. The nurse will prepare to administer which of the following to the client? (Select all that apply.)
 
  1. Capnography
  2. Thoracentesis
  3. Oximetry
  4. Bronchoscopy
  5. Polysomnography
  6. Lung biopsy

[cswans24]

Answer to Question 1

3
Stress ulcers are a complication of mechanical ventilation and often occur within 72 hours of illness. Prevention of stress ulcers in the mechanically ventilated client includes the prophylactic administration of proton pump inhibitors, histamine blockers, or sucralfate. Hyperglycemia and hypertension are not complications of receiving mechanical ventilation. Thrombophlebitis can occur in any client who is maintained on strict bed rest and is not necessarily being mechanically ventilated.

Answer to Question 2

1, 3, 5
The three diagnostic tests that can be administered at the bedside include capnography, which measures exhaled carbon dioxide; oximetry, which measures oxygenation; and polysomnography, which measures breathing while asleep. Thoracentesis, bronchoscopy, and lung biopsy are all invasive procedures and cannot be administered at the bedside.