Question

You are a staff nurse working in an intensive care unit and assigned to care for...

You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery 4 days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has had a number of setbacks. The staff, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia. Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress. You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions. You told her this was no longer an acceptable practice. She stated that she had lots of critical care experience, and she didn’t care what anyone said, that the only way you could loosen the patient’s secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch.

Develop a PICO (patient population, intervention, comparison, outcome) question for the instillation of saline during endotracheal suctioning.


Science   Nursing   
0 0
Add a commentTranscribed image text
Next >

Homework Answers

Answer #1

Ans) PICO for installation of saline during endotracheal suctioning:

Population: All age Ranges
Male/Female,North American, Turkey, UK,
Egypt, Australia
Presence of an Endotracheal Tube


Intervention: To not use NS in endotracheal suctioning
Comparison: Endotracheal suctioning should be done without the use of NS as opposed to with NS.

Outcome: Provide an evidence-based
practice of suctioning technique that eliminates adverse effects and risks to
the patient's well-being.

0 0
Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Log In

Sign Up

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
You are a staff nurse working in an intensive care unit and assigned to care for...
You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery 4 days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks. The staff, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent...
You are the nurse taking care of a septic patient in the medical intensive care unit....
You are the nurse taking care of a septic patient in the medical intensive care unit. The patient has been hypotensive for several hours despite appropriate treatment. A.) Would you expect the patient’s lactate level to be high, low, or normal? B.) Why?
Sue Brown, RN, critical care staff nurse with 4 years of experience, just had a problem...
Sue Brown, RN, critical care staff nurse with 4 years of experience, just had a problem with one of the new resident physicians. The resident was inserting a pulmonary catheter and Sue notified him that the patient was in ventricular fibrillation. Sue also told him the hemodynamic waveform showed that the catheter had cleared the right ventricle and was now in the pulmonary artery. The physician retorted to Sue, “Don’t worry about a little ventricular fibrillation … it’s expected after...
Answer the questions based on the following case scenario Nurse Maria admits patient Sam to his...
Answer the questions based on the following case scenario Nurse Maria admits patient Sam to his room following surgery. His diagnosis is metastatic colon cancer. The patient’s family members have apparently talked with the physician and know the diagnosis. However, the physician advises the nursing staff that he will not be telling the patient his diagnosis until he is on antidepressants for a few days because the patient has a history of severe depression. During the first 2 days following...
The Child with Cerebral Dysfunction The charge nurse in the pediatric neurologic intensive care unit is...
The Child with Cerebral Dysfunction The charge nurse in the pediatric neurologic intensive care unit is reviewing the change-of-shift report for several of the patients. The patient is a 28-month-old toddler who has been on life support for 2 days after a submersion injury. The vehicle in which he was riding flipped over and landed upside down in a shallow lake. The toddler was submerged for approximately 6 minutes. He was resuscitated at the accident site within 10 minutes after...
You are a female student nurse caring for Mr Habib a male patient who is Muslim....
You are a female student nurse caring for Mr Habib a male patient who is Muslim. He is recovering from surgery for prostate cancer and has a supra pubic incision. He is from Iran and has some difficulty speaking English. You know very little about the Muslim faith. You have been told that his wife is always at his bedside and she seems very nice.One nurse tells you that she cared for the patient yesterday and that he had something...
This is a theoretical case taken from VHA Intensive Ethics Advisory Committee Training, 1998, as presented...
This is a theoretical case taken from VHA Intensive Ethics Advisory Committee Training, 1998, as presented by Arthur R. Derse MD, JD. An 87-year-old woman widowed for six years, who is otherwise healthy, was visiting another city and abruptly became ill. She was seen in the emergency department of the local VA and admitted to the on-call physician. The on-call physician (who has not previously seen her) made the diagnosis of bowel obstruction arid made arrangements for a surgeon to...
a cardiac patient complained to the nurse that he had chest pain and shortness of breath....
a cardiac patient complained to the nurse that he had chest pain and shortness of breath. The nurse, who was on her way to lunch, decided to wait until she got back before calling the patient 's physician. she gave the patient the medications that were ordered for him in the event he should get chest pains. She did not tell the nurse who was covering her patients during lunch. Half hour later, when the nurse returned from lunch the...
Assume you are working in the charge nurse role. One of the staff assigned to work...
Assume you are working in the charge nurse role. One of the staff assigned to work with you becomes ill and must go home suddenly, leaving his designated patient assignment to be assumed by someone else. As the charge nurse, what factors would you consider as you determine how to reassign this work to other nurses? If you were a co-worker on the shift, instead of the charge nurse, what effective follower behaviors might you demonstrate to support the charge...
You are a Physician Assistant working at an Urgent Care Clinic in Wapiti, WY. You review...
You are a Physician Assistant working at an Urgent Care Clinic in Wapiti, WY. You review a patient’s chart prior to going in to asses him. You discover that it is a 26 year old male who presents with a lacerations and pain to his right orbit, brachium and femoral regions and pain in his thoracic and lumbar regions. Per the history, he was mountain biking, attempted to jump a large boulder and ended up crashing his bike. He had...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT