The nurse is caring for a client who is diagnosed with respiratory acidosis. Which of the following is a recommended nursing intervention for this client?
A) Notify the healthcare provider of skin changes.
B) Lower the head of the client's bed.
C) Administer prescribed antibiotics.
D) Administer ordered oxygen.
D
Feedback:
The character of respirations and the respiratory rate can indicate changes and the nurse should notify the healthcare provider of respiratory changes. Nursing interventions include placing the client in a position that promotes breathing, such as elevating the head of the bed, or placing the client in the orthopneic position, and administering ordered oxygen, not antibiotics.
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a. active exercises of the ankles and knees b. pulmonary hygiene c. splinting the abdominal incision with a pillow d. turning every 2 hours
Nutrient composition for the Therapeutic Lifestyle Changes diet include which of the following: (Select all that apply.)
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After teaching a group of students about spirituality and religion, the instructor determines that the students need additional teaching when they state which of the following?
A) Spirituality and religion are important factors that can affect health decisions and outcomes. B) Religion and spirituality are separate and distinct, but interrelated concepts. C) There has been a tremendous growth in the understanding of spirituality in the past 20 years. D) Nursing has only recently begun to incorporate spirituality into client care.
You are caring for a client who have just returned to the surgical unit after a TURP. Which assessment finding will require the most immediate action?
A. Blood pressure reading of 153/88 mmHg B. Catheter that is draining deep red blood C. Client not wearing anti embolism hose D. Client reports of abdominal cramping