A client with left-sided pneumonia is admitted to the medical unit. The nurse assesses intermittent cough productive of copious amounts of thick yellow sputum and identifies ineffective airway clearance as the priority nursing diagnosis. Which interventions are appropriate to facilitate secretion removal?
a. Chest physiotherapy
b. Cough suppressant
c. Huff coughing technique
d. Left-side lying position
e. Pursed lip breathing
Answer:
a. Chest physiotherapy
c. Huff coughing technique
You might also like to view...
The nurse observes early decelerations on the fetal monitor. What action should the nurse take?
a. Document the observations. c. Change the woman's position. b. Administer oxygen via mask. d. Check the maternal vital signs.
Which statement would the nurse evaluate as indicating the patient needs further education about mastitis and breastfeeding?
1. "If I wear a plastic-backed breast pad, I can continue to breastfeed.". 2. "If I develop discharge from the mastitis, I should avoid feeding the baby on that side.". 3. "My breast milk will help protect the baby from infection from my mastitis.". 4. "If the baby is not emptying my breast, I should use a breast pump after feeding.".
When measuring visual acuity, you are assessing cranial nerve:
a. I. b. II. c. IV. d. VI.
Which of the following patients would be at greatest risk for basal cell carcinoma?
a. Dark complexion, light eyes, underweight b. Light complexion, dark eyes, overweight c. Medium complexion, light eyes, smoker d. Light complexion, light eyes, fair hair