Which of the following would be considered as being an independent nursing intervention?
a. Teaching a postoperative client how to cough and deep breathe
b. Maintaining an intravenous infusion of normal saline at 100 mL per hour
c. Monitoring the client's blood sugar before every meal
d. Irrigating an open wound and applying medicated ointment
ANS: A
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A child is admitted for epiglottitis. Which of the following is an appropriate intervention?
a. Endotracheal equipment should be placed nearby the child b. Frequently examine the back of the throat c. Alert physician if stridor worsens d. Place the child flat to improve respirations
A client tells the nurse, "My healthcare provider told me that I have COPD and might develop emphysema. I always thought I had chronic bronchitis." Which response should the nurse provide the client?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "Are you certain you do not have asthma?" B. "Chronic bronchitis has no relation to COPD." C. "COPD is either asthma, chronic bronchitis, or emphysema, or a combination of those disorders." D. "As COPD progresses, it becomes emphysema." E. "Both diagnoses are correct."
The selection of an assistive device is determined by the patient's needs and the cause of the problem.
Answer the following statement true (T) or false (F)
The Glasgow Coma Scale consists of an assessment of:
a. Pupil reactivity and motor response. b. Eye opening and verbal and motor responses. c. Level of consciousness and verbal response. d. Intracranial pressure (ICP) and level of consciousness.