A pt hospitalized for pneumonia has the priority patient problem of ineffective airway clearance related to fatigue, chest pain, excessive secretions, and muscle weakness. What nursing intervention helps to correct this problem?
a. Administer oxygen to prevent hypoxemia and atelectasis
b. Push fluids to greater than 3000mL/day to ensure adequate hydration
c. Administer bronchodilator therapy in a timely manner to decrease bronchospasms
d. Maintain semi-fowlers position to facilitate breathing and prevent further fatigue
Answer: c. Administer bronchodilator therapy in a timely manner to decrease bronchospasms
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A nurse is notified when a patient, newly admitted with liver and gallbladder disease, complains of pain in the right middle back and asks for some pain medication. What is the best interpreta-tion of this reported assessment by the nurse?
a. The patient is just complaining to see whether the staff will give out pain medi-cations. b. The patient has referred pain sensations. The nurse should follow orders for admi-nistering pain medication. c. The patient has an injury on the back from an unknown cause that needs immediate assessment. d. The patient is a chronic complainer with anxieties about his condition.
After conducting a comprehensive client assessment, the nurse would organize information about the client's medication regimen into which domain of the Omaha System Problem Classification Scheme?
a. Environmental b. Psychosocial c. Physiological d. Health-related behaviors
The pediatric nurse in the ambulatory surgery unit is caring for a child following a tonsillectomy. The child is complaining of a dry throat. Which of the following items would the nurse offer to the child?
1. Cola with ice 2. A glass of milk 3. Cool cherry-flavored drink 4. Green gelatin
An object that is free of all microorganisms is known as sterile
True False