The patient has an increased anteroposterior chest diameter, dyspnea, and nasal flaring. The most appropriate nursing diagnosis is
A) Hypoxia related to pneumonia and ineffective airway clearance related to dyspnea edema
B) Ineffective breathing pattern related to hyperventilation related to increased anteroposterior diameter
C) Risk for ineffective airway clearance related to infection as evidenced by dyspnea and yellow-green sputum
D) Impaired gas exchange related to increased carbon dioxide and irritability
Ans: B
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A nurse is caring for a woman receiving continuous electronic fetal monitoring. Which action by the nurse is most important?
A. Educate the woman and her partner about the importance of electronic fetal monitoring. B. Ensure clearly readable monitoring strips are placed in the patient's chart per protocol. C. Offer diversionary activities for the woman and partner while they are in the hospital. D. Restrict visitors in order to decrease the chance of being exposed to infectious illness.
The patient is experiencing frequent attacks of vertigo. When planning care, the nurse may encourage which potential remedy?
a. Increasing sodium in the diet b. Quitting smoking c. Increasing fluid intake d. Drinking a glass of red wine before supper
An important primary prevention activity the nurse could teach a community group for vision is (Select all that apply)
a. having an annual ophthalmologic examination. b. keeping blood pressure under control. c. taking medication for glaucoma as prescribed. d. wearing safety goggles and sunglasses.
An insulin syringe is calibrated in milliliters
Indicate whether the statement is true or false