A client who suffered a stroke has a nursing diagnosis of Ineffective airway clearance. The goal of care for this client is to mobilize pulmonary secretions. Which intervention helps meet this goal?
a) Administering oxygen by nasal cannula as ordered
b) Repositioning the client every 2 hours
c) Keeping the head of the bed at a 30-degree angle
d) Restricting fluids to 1,000 ml/24 hours
Ans: b) Repositioning the client every 2 hours
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In providing pain medication for the postoperative client, what is the preferred route of administration when the client is NPO?
a. epidural c. intravenous b. intramuscular d. oral
The nurse is reviewing the arterial blood gas of a client with chronic obstructive pulmonary disease (COPD). The results of the gas are: pH 7.34, CO2 55, PaO2 70, HCO3 28. What action should the nurse take?
1. Place the client on 10 L of oxygen. 2. Notify the charge nurse immediately. 3. Nothing; this is a normal gas for this client. 4. Notify the physician.
The nurse cares for a client whose husband of 50 years died last week. The nurse arrives at her home to find her staring out of a window in a stupor, her face devoid of any emotion
When the nurse speaks with her, the client seems withdrawn and distant. Which phase of grief should the nurse most suspect this client to be in? A) Numb shock B) Emotional turmoil C) Reorganization D) Resolution
A client complains to the nurse at the primary care physician's office of having difficulty with blurry vision. The client tells the nurse that the primary care physician says the blurry vision is the result of astigmatism
Based on this information, what is the best description the nurse can provide the client about astigmatism? A) Objects at a distance appear blurred B) Cannot see close objects clearly C) Cannot bring horizontal and vertical lies into focus at the same time D) Gradual loss of the function of accommodation