Author Question: The nurse instructs the client about the proper sequence for intubation and irrigation of a ... (Read 65 times)

bobbysung · **on:** Jul 24, 2018

The nurse instructs the client about the proper sequence for intubation and irrigation of a continent diversion during the full recovery period. The client should:

A. Intubate every 8 hours and irrigate daily
B. Intubate every 2 to 3 hours and irrigate every 4 hours
C. Intubate every 4 hours and prn and irrigate tid
D. Intubate every 4 hours and prn at night and irrigate bid and prn

Question 2

A student nurse is working with a patient who has asthma. The primary nurse tells the student that wheezes can be heard on auscultation. The student expects to hear:

a. coarse crackles and bubbling.
b. high-pitched musical sounds.
c. dry, grating noises.
d. loud, low-pitched rumbling.

parker125 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

D
A, B, C, and D. Fully recovered client with continent urinary diversion must intubate (or be intubated if unable to do) every 4 hours and prn at night; irrigate bid and prn.

Answer to Question 2

B
Wheezes are high-pitched, continuous, musical sounds like a squeak heard continuously during inspiration or expiration; they are usually louder on expiration. Coarse crackles and bubbling are not descriptive of wheezes. Dry, grating noises are heard with a pleural friction rub. Loud, low-pitched rumbling is characteristic of rhonchi.