Which nursing intervention is most effective in preventing hospital-acquired pneumonia in an elderly patient?
a. Assist patient to cough, turn, and deep breathe every 2 hours.
b. Encourage patient to drink through a straw to prevent aspiration.
c. Discontinue humidification delivery device to keep excess fluid from lungs.
d. Monitor oxygen saturation, and frequently assess lung bases.
ANS: A
The goal of the nursing action should be the prevention of pneumonia; the action that best addresses this is to cough, turn, and deep breathe to keep secretions from pooling at the base of the lungs. Drinking through a straw increases the risk of aspiration. Humidification thins respiratory secretions, making them easier to expel. Monitoring oxygen status is important but is not a method of prevention.
You might also like to view...
Good followership is characterized most clearly by which of the following actions?
A) Not questioning the decisions of the leader B) Completing his or her assignment on time C) Participating in planning and making decisions D) Having a positive attitude
The nurse is caring for a client who underwent a left below-the-knee amputation. The client calls and asks the nurse for pain medication. The client informs the nurse he has left foot pain. What type of pain is the client describing?
A) Narcotic-induced pain B) Acute pain C) Phantom limb pain D) Chronic pain
What facts about race does a nurse need to be aware of?
A) Skin, hair, and eye color are indicators of race. B) Genetic diseases are restricted to a particular race. C) Racial intermixing has blurred physical attributes. D) Race is equivalent to culture and ethnicity.
Hemoglobinuria
What will be an ideal response?