The nurse is planning care for a 70-year-old patient newly admitted with a medical diagnosis of pneumonia and a nursing diagnosis of Ineffective Airway Clearance. Which is the nurse's priority intervention?
a. Teach the importance of pneumonia immunization.
b. Teach coughing and deep breathing exercises.
c. Position to optimize maximum ventilation.
d. Encourage use of incentive spirometer to increase deep breathing.
ANS: C
You might also like to view...
The nurse is assisting her patients with hygiene care. She knows that this includes the following: (Select all that apply.)
a. Bathing b. Oral care c. Perineal care d. Foot care e. Patient communication
A nurse is designing interventions and evaluating results of Healthy Municipalities and Cities. Which of the following considerations should be made by the nurse?
a. Influence of individual actions b. Acute care hospital services in the com-munity c. Social results and endorsement of law makers for policy changes d. Effectiveness of health services, including delivery of preventive services
A patient with prostate cancer is taking estrogen daily to control tumor growth. He reports that his left calf is swollen and painful. Which of the following would be the nurse's best action?
a. Instruct the client to keep the leg elevated. b. Measure the calf circumference and compare the measurement with the right calf circumference measurement. c. Apply ice to the calf after a 10-minute massage of the area. d. Document assessment findings as an expected response with estrogen therapy.
Select the true statement related to treatment with griseofulvin.
A. It is usually taken for 4 to 6 weeks for toenail infections. B. It is usually taken for 3 to 4 months for fingernail infections. C. It is usually taken for at least 6 months for hair and scalp infections. D. It should be discontinued when symptoms get better.