Identify three outcomes that you expect for T.C. as a result of your interventions
What will be an ideal response?
• VS and pulse oximetry within normal limits.
• An increase in depth of respirations.
• Clear lung sounds.
• T.C. is able to demonstrate effective coughing, deep breathing, and using incentive spirometry.
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The nurse is caring for the client with multiple medical diagnoses, and recognizes that the client will also have spiritual and social needs that might affect the client's progress towards wellness in addition to physical needs
Approaching the client's needs in this manner is an example of which of the following theories of nursing? 1. Sister Callista Roy's 2. Madeleine Leininger's 3. Dorothea Orem's 4. Betty Neuman's
In which condition should a nurse take extra care to check for signs of bruising or bleeding?
A) Dehydration B) Hypokalemia C) Hypocalcemia D) Hypomagnesemia
The nurse has conducted assessment of a patient who had surgery for a ruptured appendix 3 days ago. The patient complains of nausea, the abdomen is firm, and bowel sounds are rare in all quadrants
The nurse discusses these assessment findings with the health care provider due to concern regarding development of which condition? 1. Paralytic ileus 2. Dehydration 3. Intestinal obstruction 4. Hyperkalemia
A nurse is caring for a client who has undergone resection of an abdominal aortic aneurysm (AAA). Which action should the nurse implement to prevent graft occlusion?
A. Monitoring urine output B. Monitoring bowel sounds C. Checking pedal pulses distal to the graft site D. Limiting elevation of the head of the bed to 45 degrees