Answered: Scenario: The client has been diagnosed…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Question

Scenario: The client has been diagnosed with community-acquired pneumonia. Although oxygenation improved, the client continues to be diaphoretic, using accessory muscles of respiration and frequently states, "I'm exhausted" and "I can't get enough air." The decision is made to intubate and place the client on mechanical ventilation.

In preparation for and during the intubation procedure, the ED's registered nurse will legally perform what actions independently? With an X identify each action listed in the far-left column as being either within or beyond the scope of the registered nurse (RN) at the bedside.

Actions	Within scope of practice	Outside the scope of practice
Immediately notify respiratory therapy (RT) to obtain a ventilator
Select the proper sized endotracheal tube
Ensure the bedside suction is in working order
Choose the appropriately sized laryngoscope
Secure preprocedure vital signs
Select pre- and postmedication
Position client in a "sniffing"
Hyper-oxygenate client with 100% oxygen
Ensure easy access to a rigid tonsil tip suction tip
Advance endotracheal tube 5 to 6 cm beyond the vocal cords