The nurse identifies a nursing diagnosis of Ineffective airway clearance for a patient, age 64, who has undergone a pneumonectomy. A common etiology for this nursing diagnosis in patients who have had a pneumonectomy is
a. thick, copious secretions.
b. surgical incision pain.
c. presence of chest tubes.
d. mechanical ventilation.
B
Nursing interventions are often directed at postsurgical interventions, including facilitating recovery and preventing complications by promoting effective airway clearance through frequent repositioning, coughing, and deep breathing. Surgical incisional pain prevents the patient from breathing deeply and coughing effectively.
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A stepped care management approach to treating hypertension includes weight loss, smoking cessation, decreased use of alcohol, reducing salt in the diet, and increased physical exercise
In which step of a stepped-care management approach will the nurse teach about these changes in lifestyle? A) Step 1 only B) Steps 1 and 2 C) Steps 1, 2, and 3 D) Steps 1, 2, 3, and 4
The term "comparison group" in research refers to the group of patients in a:
a. nonrandom sample who do not receive a treatment. b. nonrandom sample who receive a treatment. c. random sample who do not receive a treatment. d. random sample who receive a treatment.
The nurse instructs a patient with spastic bladder about the prescribed medication tolterodine (Detrol). What patient statements indicate that teaching has been effective?
Select all that apply. 1. "I can take this with or without food." 2. "This medication might make me drowsy." 3. "I should call my doctor if I have problems breathing." 4. "I should be careful driving while taking this medication." 5. "I can drink wine with dinner while taking this medication."
The African American patient has panic attacks, is suicidal, and is on an inpatient psychiatric unit. The psychiatrist orders sertraline (Zoloft) and clonazepam (Klonopin)
The patient refuses the drugs; he requests to have herbs and African objects in his room to "remove the curse." What is the priority action by the nurse? 1. Allow the request without seeking further information from the patient. 2. Allow the request as long as the herbs and objects do not pose a safety risk for the patient or other patients. 3. Allow the request after the patient signs a release of responsibility to avoid litigation. 4. Allow the request after all members of the treatment team agree to it.