A nurse caring for a 68-year-old patient diagnosed with mycoplasmal pneumonia observes that the patient has difficulty breathing due to copious tracheobronchial secretions. The patient should be encouraged to do which of the following?
A) Increase oral fluids unless contraindicated.
B) Call the nurse for deep suctioning.
C) Lie in a low-Fowler's position.
D) Increase activity.
Ans: A
Feedback: The nurse should encourage hydration because adequate hydration thins and loosens pulmonary secretions. Deep suctioning may cause trauma to the mucosa. The patient should have the head of the bed increased, and rest should be promoted to avoid exacerbation of symptoms.
You might also like to view...
A student nurse is caring for a child several hours after open heart surgery. Which action by the student requires intervention by the registered nurse?
A. Administers pain medication based on assessment of nonverbal signs of pain B. Groups nursing care tasks to allow for uninterrupted periods of rest and sleep C. Monitors hourly output from child's indwelling urinary catheter and chest tube D. Prepares to administer medication through the central venous pressure line
The nurse, on a mission trip, is caring for a client with internal radiologic contamination from the fallout. The client states, "I need to get this out of me, and then I will be done with it
" The nurse is most correct to reply which of the following? A) "Yes, we need to assure that we clean any debris from your wound which may be contaminated." B) "Yes, but you may have lingering effects from the exposure to your body." C) "Yes, but you must also consider further exposure from contaminated food and water sources." D) Yes, we need to continue to document your recovery process and further disease processes."
What medication would the nurse expect to administer to the client with ulcerative colitis who complains of painful abdominal cramping?
A. Meperidine (Demerol) B. Methylprednisolone sodium succinate (Solu-Medrol) C. Sulfasalazine (Azulfidine) D. Dicyclomine (Bentyl)
An African American client's health history includes hypertension, diabetes, and heart disease. What major factor accounts for the increase in these diseases among some popula-tions?
A. Lack of access to health care B. Medical insurance that fails to cover drug treatment C. Religious beliefs that conflict with health promotion activities D. Inconsistent adherence to medical regimens by African Americans