Postural drainage with percussion and vibration is ordered twice daily for a patient with chronic bronchitis. Which intervention should the nurse include in the plan of care?
a. Schedule the procedure 1 hour after the patient eats.
b. Maintain the patient in the lateral position for 20 minutes.
c. Perform percussion before assisting the patient to the drainage position.
d. Give the ordered albuterol (Proventil) before the patient receives the therapy.
ANS: D
Bronchodilators are administered before chest physiotherapy. Postural drainage, percussion, and vibration should be done 1 hour before or 3 hours after meals. Patients remain in each postural drainage position for 5 minutes. Percussion is done while the patient is in the postural drainage position.
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Following the death of a Presbyterian infant, the nurse should help arrange for __________
ANS:
A hospital recently learned that their scorecard did not meet the national benchmark for patient satisfaction and brought in a professional change agent to determine what their issues were and how they could improve their score
The agent collected data and recommended that nurses participate in interdisciplinary walking rounds and allow the patient and family to be participants. Nurses now round every shift and perform "huddles to update the team" as needed throughout the shift as part of best practices. Random visits are made to nursing units to ensure all nurses are participating and patients are interviewed for their involvement. This stage of Lewin's change is: a. unfreeze. b. moving. c. refreeze. d. resistance.
The nurse notes bulging fontanels when assessing an infant's head. Which are likely causes for this assessment finding? Select all that apply
1) Dehydration 2) Hydrocephalus 3) Increased intracranial pressure 4) Temporal arteritis 5) TMJ syndrome