The nurse coaches a patient with chronic obstructive pulmonary disease to make one long "huff" when performing huff coughing. What should the nurse explain as the purpose of the long huff when using this approach to clear the airway?
a. Increases oxygenation
b. Removes excess carbon dioxide
c. Ensures thorough lung expansion
d. Helps to open and clear smaller airways
ANS: D
A short "huff" helps clear larger airways, while a longer "huff" held out for several seconds helps open and clear smaller airways. A. B. C. A shorter "huff" is not used to increase oxygenation, remove excess carbon dioxide, or ensure thorough lung expansion.
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A 78-year-old patient was admitted to the critical care unit with cirrhosis of the liver. Nursing management of the patient after the liver scan should include
a. encouraging her to drink at least 500 mL of fluids after the procedure. b. keeping her flat in bed for 12 hours after the procedure. c. instructing her that she will need to keep flat and still for approximately 60 minutes during the procedure. d. administering cleansing enemas.
Which of the following nursing actions is essential when caring for a neonate?
a. conducting psychosocial assessments b. monitoring nutritional status c. providing a sterile environment to protect from infection d. providing grandparents with support
Which of the following would a community health nurse expect to assess in the population of homeless men?
A) Marital status B) Substance abuse C) Permanent employment D) Frequent use of shelters
Which action is the most appropriate description for cholinesterase inhibitors?
1. Intensify transmission at neuromuscular junctions only. 2. Prevent transmission at neuromuscular junctions only. 3. Prevent transmission at muscarinic, ganglionic, and neuromuscular junctions. 4. Intensify transmission at muscarinic, ganglionic, and neuromuscular junctions.