A client has returned to the unit following a wedge resection of the left lung for the presence of a tumor. Which of the following would the nurse have as a priority goal for this client?
1. Maintain current weight
2. Express feelings and concerns
3. Maintain a patent airway
4. Participation in care by the client
3. Maintain a patent airway
Rationale:
All of the outcomes for this client are viable, but the highest priority outcome is maintaining a patent airway. Part of the lung has been removed, and care is directed at minimizing postoperative swelling, the accumulation of fluids, and optimal ventilation.
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Which of the following statements is the most suitable for establishing goals when teaching an older adult with a chronic illness about potential changes in the health maintenance regimen?
a. Management of the patient's chronic dis-ease rests on the patient and the caregiver; therefore the goals should be collabora-tively set. b. The patient will be able to make needed changes in his or her life if the nurse pro-vides accurate, written instructions. c. Psychological functioning is usually im-paired only to a small extent in a patient with a chronic illness. d. The patient's values, culture, and beliefs will have little to do with the types of changes he or she will be able to make.
Which statement is incorrect regarding prepared childbirth education?
a. No use of anesthetics or drugs is to be administered to clients so they can have a natural childbirth experience. b. Clients can take refresher courses if they have delivered within the last 2 years. c. Prepared childbirth classes may differ slightly based on the available resources of health care facilities. d. Prepared childbirth classes are aimed at increasing awareness of the childbirth experience for parents and significant others to promote better control of pain and decrease anxiety.
The nurse notes premature ventricular contractions (PVCs) while suctioning a patient's endotracheal tube. Which action by the nurse is a priority?
a. Decrease the suction pressure to 80 mm Hg. b. Document the dysrhythmia in the patient's chart. c. Stop and ventilate the patient with 100% oxygen. d. Give antidysrhythmic medications per protocol.
Overweight people
A. are commonly stereotyped because of their size. B. seldom experience discrimination or insensitivity. C. are usually at fault for their size because they eat too much. D. can readily overcome prejudice and other obstacles.