A Patient Who Has Respiratory Failure and Is Receiving Mechanical

question 2

Multiple Choice

A patient who has respiratory failure and is receiving mechanical ventilation has a nursing diagnosis of risk for injury related to asynchrony with the ventilator secondary to anxiety. The nurse's first action should be to

• A) verbally coach the patient to breathe with the ventilator.
• B) sedate the patient with the ordered PRN lorazepam (Ativan).
• C) ventilate the patient with a manual resuscitation bag.
• D) increase the rate for the ordered propofol (Diprivan) infusion.

Comprehend the process of force field analysis and its application in managing change.

Describe the unfreezing, changing, and refreezing phases of Lewin's change model.

Recognize the role of communication in facilitating organizational change.

Understand the ethical considerations and potential consequences of organizational change strategies.

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Definitions:

Maintenance Dose

The dose of medication needed to maintain a desired level of the drug in the bloodstream after the initial therapeutic effect is achieved.

Heart Failure

A chronic condition where the heart is unable to pump sufficiently to maintain blood flow to meet the body’s needs.

Cefaclor

An antibiotic medication used to treat a wide variety of bacterial infections by stopping the growth of bacteria.

Otitis Media

An infection or inflammation of the middle ear, common in children and often resulting in ear pain.