The nurse instructs a patient receiving home O2 therapy to drink plenty of fluids to help keep bronchial secretions liquefied. The recommended fluid is:
a. milk.
b. water.
c. tea with artificial sweetener.
d. coffee.
B
Water is the best option. Drinks with caffeine, sugar, or dairy products are not helpful to liquefy secretions.
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An elderly client, who can void only while standing and pushing upward on the vagina, is ordered a pessary. Which comment from the client indicates a need for further teaching about this device?
A) "I will remove and clean it every day." B) "I will report any signs of irritation or bleeding." C) "I should have greater ease of emptying my bladder." D) "I should report any foul odor or drainage."
The nurse reviews information about a drug and notes the initials "USP" after the drug's official name. The nurse understands that this designation indicates the drug
a. is a controlled substance. b. is approved by the U.S. Food and Drug Administration (FDA). c. is available in generic form. d. meets quality and safety standards.
Which nursing intervention is most effective in promoting normal defecation for a patient who has muscle weakness in the legs?
a. Administer a soapsuds enema every 2 hours. b. Use a mobility device to place the patient on a bedside commode. c. Give the patient a pillow to brace against the abdomen while bearing down. d. Elevate the head of the bed 20 degrees 60 minutes after breakfast while on bedpan.
The nurse is caring for a client who is experiencing anaphylaxis. The family asks the nurse why the client is having difficulty breathing. The nurse responds based on what knowledge?
1. Reflex tachycardia 2. Compensation for a rapid fall in blood pressure 3. Seizures are likely to occur 4. Bronchoconstriction in response to the allergen