The nurse is planning care for a child with respiratory syncytial virus (RSV) bronchiolitis with the nursing diagnosis of Impaired Gas Exchange
Which interventions should be included in the child's plan of care?
Select all that apply.
A) Weigh daily.
B) Monitor vital signs and pulse oximetry.
C) Administer oxygen as prescribed.
D) Weigh diapers.
E) Provide frequent rest periods.
Answer: B, C
Interventions appropriate for the client with the nursing diagnosis of Impaired Gas Exchange due to RSV bronchiolitis include monitoring vital signs, pulse oximetry, and breathing pattern, and administering oxygen. Daily weight would be appropriate for the nursing diagnosis of Impaired Nutrition: Less than Body Requirements. Weighing diapers would be appropriate for the nursing diagnosis of Fluid Volume Deficit. Providing frequent rest periods would be appropriate for the nursing diagnosis of Activity Intolerance.
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During a walk, an older male adult suffers a laceration from a broken tree branch. Rank the nurse's interventions in order, beginning with the most important intervention
a. Flush and cleanse the wound well. b. Investigate a possible safety hazard. c. Instruct him to keep wound covered. d. Verify a current tetanus immunization.
A resident of a long-term care facility has lived with chronic obstructive pulmonary disease (COPD) for many years but has experienced a gradual increase in dyspnea despite the use of long-term oxygen therapy
In recent weeks, dyspnea has interfered with the resident's ability to eat, and the nurse recognizes the potential nursing diagnosis of altered nutrition: less than body requirements. How can the nurse best foster this resident's nutritional status? A) Arrange for a high-protein diet to promote gas exchange. B) Provide meals early in the morning and late at night. C) Liaise with the resident's health care provider to organize total parenteral nutrition (TPN). D) Order small, frequent meals and nutritional supplements for the resident.
Descriptive statistics are found in which of the following? (Select all that apply.)
a. All quantitative descriptive research reports b. Some qualitative research reports c. All quantitative inferential research reports d. No qualitative research reports e. Some quantitative inferential research reports
The chest x-ray of a patient who was recently intubated shows the endotracheal tube located in the right bronchus. What does the nurse recognize related to this finding?
1. The tube needs to be withdrawn slightly. 2. The tube needs to be inserted further. 3. The tube is correctly placed. 4. The tube is incorrectly attached to the ventilator.