So, I've started studying, and it gives me something to do that first night I'm up all night (for my first night back to work) other than laundry, and catching up on a Netflix movie lol.
Anyway, I am using the CD from the AACN book right now, the study mode, and I love that it gives detailed rationales. (has both a study mode and an exam mode). Get the book if you're looking for a good book.
Thought I would write a random question: (I will contribute more once I have studied more, and have more info to share sometime later this week
Your patient is on PS settings 30% FiO2, Peep 5, PS 5 on the ventilator for possible wean to CPAP trial within the next few hours. He has been tolerating this setting well, but you notice that when his family comes back to visit, he is increasingly agitated, and the high pressure alarm is going off more consistently even after you'd tried to assist both patient and family understand one another. You, his nurse, should:
A). Medicate the patient with 2 mg ativan IV
B). Reassure the patient that he is doing very well, and to try to calm down.
C). Explain to the family that it is best for them to go out to the waiting room after they say good night since the patient is becoming frustrated that he can't talk to them due to the breathing tube being in place, and is tiring himself out in the process.
D). Explain to the family that it's not in the patient's best interest to wake him up to ask him if he is comfortable once he is already asleep. (lol, this was just a fun one, we'd never say this. But, we've all experienced it.
. The families mean well, though. Usually a little education goes a long way).