You are caring for an adult patient with a tracheostomy who is being mechanically ventilated. His pulse oximetry reading is 85, heart rate is 113 beats/min, and respiratory rate is 30 breaths/min.
The patient is very restless. His respirations are labored, and you hear gurgling sounds. You auscultate crackles and rhonchi in both lungs. What is the most appropriate action to take?
a. Call the respiratory therapist to check the ventilator settings.
b. Provide endotracheal suctioning.
c. Provide tracheostomy care.
d. Notify the physician of the patient's signs of fluid overload.
Question 2
Why is an accurate description of the location of a wound important? Select all that apply.
a. Influences the rate of healing
b. Determines the appropriate treatment choice
c. Will affect the frequency of dressing changes
d. Affects patient movement and mobility
Position of patient to assess jugular vein distention
Patient Teaching Methods Cont.
Foley catheter with balloon in the bladder of a male patient.
Assisting a falling patient.