An elderly client diagnosed with asthma has a respiratory rate of 28 at rest with audible wheezes upon inspiration. An appropriate nursing diagnosis for this client would be:
1. Activity Intolerance.
2. Ineffective Airway Clearance.
3. Impaired Tissue Perfusion.
4. Ineffective Breathing Pattern.
4. Ineffective Breathing Pattern
Rationale:
The client is experiencing an increased respiratory rate and is wheezing, which is an ineffective breathing pattern. Not enough information is provided to determine whether the client does or does not have ineffective airway clearance, activity intolerance, or impaired tissue perfusion.
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A nurse in the Medical ICU has orders to infuse a hypertonic solution into a patient with low blood pressure
This solution will increase the number of dissolved particles in the patient's blood, creating pressure for fluids in the tissues to shift into the capillaries and increase the blood volume. What term or terms are associated with this process? A) Hydrostatic pressure B) Osmosis and osmolality C) Diffusion D) Active transport
The UAP reports a small skin tear on the client's forearm that occurred during a routine turn. After assessing the wound the nurse should take which action?
1. Obtain a transparent dressing for the UAP to place on the wound. 2. Request a consult with the wound care nurse. 3. Cleanse the wound and apply a dressing. 4. Tell the UAP to reevaluate the wound in 20 minutes.
A reviewer critically appraises a study. Which aspect of the review indicates a weakness in the study?
a. The conceptual definitions of variables are consistent with operational definitions. b. The literature review identifies what is known and not known about the problem. c. The researcher identifies and discusses threats to design validity. d. The statement of purpose provides a broad, general focus for the study.
A nurse educator is teaching a group of students about the functions of the cardiovascular system
The nurse educator knows the students have grasped the information when they are able to state which as functions of the cardiovascular system? Standard Text: Select all that apply. 1. Transport of nutrients and wastes 2. Storage of blood 3. Regulation of blood pressure 4. Regulation of acid–base balance 5. Regulation of fluid balance