A patient has retained secretions in the right and left lower lobe superior bronchi. A nurse is demonstrating to family members how to perform percussion and vibration. Which action by the nurse is appropriate?
a. Positioning the patient in a chair leaning forward on a table
b. Asking the patient to lie flat on the stomach with a pillow under the stomach
c. Assisting the patient to the right side with the arm overhead and the feet elevated
d. Asking the patient to lie on the left side with the head elevated
B
Have the patient lie flat on the stomach with a pillow under the stomach. Percuss and vibrate below the scapula on either side of the spine. Sitting up and leaning forward is the position for drainage of the left and right upper lobe posterior apical branch. Having the patient lying on the right side in Trendelenburg's position with the arm overhead facilitates drainage of the left upper lobe lingular bronchi. On the left side with the head elevated is not a correct position for any drainage procedure.
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A client who is hospitalized with burns after losing the family home in a fire becomes angry and screams at a nurse when dinner is served late. How should the nurse respond?
a. "Do you need something for pain right now?" b. "Please stop yelling. I brought dinner as soon as I could." c. "I suggest that you get control of yourself." d. "You seem upset. I have time to talk if you'd like."
Place the nursing activities in priority order for the preparation of a patient to ambulate
1 . Dangle the patient at the side of the bed. 2 . Apply a gait belt. 3 . Assist the patient to stand. 4 . Inform the patient of activity. 5 . Roll up the head of the bed. Put a comma between each answer choice (1, 2, 3, 4, etc.).
A breastfed infant has just been diagnosed with galactosemia. The therapeutic management of this includes which?
a. Stop breastfeeding the infant. b. Add amino acids to breast milk. c. Substitute a lactose-containing formula for breast milk. d. Give the appropriate enzyme along with breast milk.
A patient is prescribed 50 mg of amphotericin B (Fungizone) by intravenous infusion in 500 mL of dextrose 5% in water (D5W) over 6 hours. How many milliliters per minute does the nurse set the pump to infuse?
a. 1.4 b. 2.2 c. 4.2 d. 6.2