Which nursing diagnosis would the nurse select for an older patient with asthma that has a respiratory rate of 28 and audible wheezes on inspiration?
1. Activity Intolerance
2. Altered Tissue Perfusion
3. Ineffective Airway Clearance
4. Ineffective Breathing Pattern with tachypnea and wheezing.
4
Rationale: Activity Intolerance would be appropriate if the patient was experiencing fatigue.
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A nurse who is planning to teach school-age children about the "common cold" should include the information that:
1. Vaccinations can prevent contraction of a nasopharyngitis virus. 2. Antibiotics will eliminate the nasopharyngitis virus. 3. Proper handwashing can prevent the spread of the common cold. 4. Aspirin should be taken for alleviation of fever if the common cold is contracted.
When reviewing a client's chart prior to beginning care, the nurse notes a do not resuscitate order on file. This order
1. Prevents the client from receiving antibiotics 2. Prevents the client from receiving IV fluids 3. Prevents interventions the client does not wish to have performed when death approaches 4. Prevents surgery from being performed
The nurse is caring for a child diagnosed with category B HIV. What should the nurse expect to review in this patient's medical history? (Select all that apply.)
A) Pneumonia B) Herpes zoster C) Kaposi sarcoma D) Cardiomyopathy E) Positive tuberculosis test
The manager is identifying staff who would qualify to be a member of a lift team. What information does the manager need before finalizing this decision?
1. Date of last back injury 2. Reports of spinal x-rays 3. Evidence of daily back exercises being done 4. Staff signature relinquishing organization liability