A patient is admitted with a possible 2nd cervical vertebra injury. The nurse realizes that which of the following might be indicated for this patient?
1. humidified oxygen via face mask
2. intubation and mechanical ventilation
3. future instruction on the use of an incentive spirometer
4. future instruction on quad coughing
2
Rationale: Patients with 1st or 2nd cervical injuries will require mechanical ventilation because of loss of phrenic nerve enervation to the diaphragm. The patient would need more than humidified oxygen via face mask. The patient may need long-term mechanical ventilation and therefore would not be able to use an incentive spirometer or be instructed on the quad coughing technique.
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A patient with acute kidney injury has a hemoglobin level of 9 mg/dL. How would the nurse explain this change to the patient?
1. "Your kidneys may not be making enough of a hormone that is required to build red blood cells." 2. "Since you are retaining so much fluid, your blood is more dilute." 3. "I am afraid you may have some bleeding we have not found as of yet." 4. "Your lungs are not exchanging oxygen as well as they should, so your body is not producing hemoglobin."
Which of the following activities is the most effective in helping clients change high-risk behaviors?
1. listening to news media or other communication media 2. attending support groups 3. receiving the nurse's individual attention and feedback 4. visiting with others who have suffered as a result of similar high-risk behaviors
The inner potential humans have for healing, growth, and well-being throughout the lifespan is broadly defined by Reed as
A. Nursing processes. B. Self-organization. C. Developmental process. D. Well-being processes.
A nursing advisor is meeting with a student who is interested in earning her RN degree. She knows that LPN/LVNs who enter nursing school to become RNs come into the learning environment with prior knowledge and understanding
Which statement by the nursing advisor best describes her understanding of the effect experience may have on learning? a. "Experience may be a source of insight or a barrier." b. "Experience is usually a stumbling block for LPN/LVNs." c. "Experience never makes learning more difficult." d. "Once something is learned, it can never be truly modified." ANS: A