The nurse has identified the priority patient problem of ineffective airway clearance with bronchospasms for a patient with pneumonia. The pt has no previous history of chronic respiratory disorders. The nurse obtains an order for which nursing intervention?
a. Increased liters of humidified oxygen via facemask
b. Scheduled and prn aerosol nebulizer bronchodilator treatments
c. Handheld bronchodilator inhaler as needed
d. Corticosteroid via inhaler or IV to reduce inflammation
Answer: b. Scheduled and prn aerosol nebulizer bronchodilator treatments
You might also like to view...
Please choose from the following statements those that describe interdependent nursing activities. Select all that apply
1. The nurse who is creating a care plan consults with the physical therapist to identify the most appropriate transfer techniques to use in assisting a newly admitted client who has mobility problems at baseline and incorporates this information into the care plan. 2. The nurse notifies the unit social worker when the mother of a toddler who just admitted to the unit requests to stay with the toddler overnight with her two other children, because she cannot identify any family or friends who might be able to care for them. 3. The nurse assesses an infant's hydration. 4. The nurse administers the type and amount of intravenous fluid that the health care provider ordered. 5. The nurse evaluates whether the goals of the care plan have been met. Correct
A client receives a diagnosis of cancer. The client tells a nurse, "This is all my father's fault for smoking around me when I was young. . . . Now I have cancer because of it"
Which stage of grief should the nurse identify when caring for this client? A) Denial B) Anger C) Bargaining D) Depression E) Acceptance
A pregnant client in her 38th week of gestation complains of abdominal pains and suspects she is in labor. Which of the following findings are characteristic of true labor contractions?
A) Contractions are short and irregular. B) Contractions are generally felt low in the abdomen. C) Contractions help create effacement and dilation of the cervix. D) Contractions are relieved by change of position or activity.
A health care provider recommends chemotherapy for a client diagnosed with cancer. The client tells the nurse, "This is a punishment from God for the sins I have committed
Some of the women at my church say so." Which intervention will best meet the client's spiritual needs? 1. Plan to involve a hospital minister to discuss the client's perspective about cancer. 2. Plan to meet with family members to discuss their feeling about the cancer and prognosis. 3. Plan to contact the client's minister to make a visit. 4. Plan to bring the case before the hospital's board of ethics.