A patient recovering from thoracic surgery is demonstrating evidence of impaired oxygenation and ventilation. His breathing is shallow and his oxygen saturation is dropping. Which nursing intervention is most suited to addressing this issue?
1. Teach the patient to use the incentive spirometer every 1 to 2 hours.
2. Suction as necessary.
3. Splint the chest when coughing.
4. Encourage fluids up to 2.5 liters per day.
Answer: 1
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The nurse is visiting a family new to a community. The mother has a disability, and the adolescent child is being treated for anorexia. What will the nurse do first when assessing this family?
A) Construct an ecomap. B) Complete a genogram. C) Assess the home for safety. D) Discuss the daughter's anorexia.
The patient has a documented allergy to latex. Which nursing actions are indicated?
1. Schedule surgery for the last case of the day. 2. Use powdered gloves. 3. Use a stopcock for the injection of intravenous drugs. 4. Disinfect the rubber tops on medication bottles with Betadine rather than alcohol.
The nurse is working with a new mother who follows Muslim traditions. Which expectations and actions are appropriate for this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Be sure she gets a kosher diet. 2. Expect that most visitors will be women. 3. Uncover only the necessary skin when assessing. 4. The father will take an active role in infant care. 5. She will prefer a male physician.
MC The nurse is working with a 76-year-old client who has recently moved in with his daughter and her family. The most appropriate intervention to foster independence in the client would be to encourage the client to
A. Exercise several times a week. B. Move into an assisted living facility. C. Purchase a cellular phone. D. Assume specific roles within the household.