The nurse responds to the call light of a client with chronic obstructive pulmonary disease (COPD) who says, "I can't breathe." The client seems to be having difficulty breathing and is nervous and tremulous. Vital signs are stable, oxygen saturation is 92% on 2 L, and there are clear breath sounds bilaterally. Which intervention would be most appropriate at this time?
a. Administer albuterol nebulizer
b. Assist the client in identifying the trigger and ways to avoid it
c. Coach the client through controlled breathing exercises
d. Continue to monitor oxygen saturation
Answer: c. Coach the client through controlled breathing exercises
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A prenatal client asks the nurse how the baby can possibly come out through her vagina, because a vagina is not nearly as big as a baby. What should the nurse include when answering this patient's question? The vagina:
1. Usually tears as it stretches during childbirth. 2. Is designed to allow a baby come through. 3. Changes from pregnancy hormones and stretches more. 4. Dilates and effaces in labor so the baby can get out.
An older adult who has Alzheimer's disease exhibits new behavior including shouting in the hallways and hallucinations
Rank the nursing interventions in order, beginning with the first intervention the nurse should implement in response to the new behavior. a. Review the medication list for potential causes. b. Plan nursing care to promote a trusting relationship. c. Look for likely causes for psychotic manifestations. d. Consult with health care provider about medications.
The nurse is participating in a quantitative research study. Which of the following is a major characteristic of this type of research?
a. Holistic design b. Deductive reasoning c. Complete and broad focus d. Analysis of words and individual interpretation
The proposed mechanism by which diphenhydramine causes delirium is
A. Serotinergic effects B. Dopaminergic effects C. Gabanergic effects D. Anticholinergic effects