A terminally ill patient is experiencing dyspnea. What should the nurse do to help the patient feel more comfortable?
1. Raise the head of the bed.
2. Gently massage the patient.
3. Replace the oxygen cannula with a face mask.
4. Provide oral care.
1
Rationale 1: Elevating the head of the bed reduces choking sensations and promotes expansion of the lungs.
Rationale 2: Massage has not been shown to reduce dyspnea, but will help reduce discomfort from accumulating edema in the extremities.
Rationale 3: Face masks often make the patient more dyspneic.
Rationale 4: Providing oral care is not the best answer for reducing dyspnea.
You might also like to view...
During a physical assessment of a hospitalized 5-year-old, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis
What action should the nurse implement? a. Forcibly push the foreskin down over the head of the penis. b. Place a warm compress on the penis. c. Notify the charge nurse. d. Wait a few hours and try again.
Nancy has antisocial personality disorder. Which of the following is a goal of treatment for Nancy?
A. Comply with her medication regimen B. Participate in long-term therapy C. Become a group facilitator D. Eliminate her anxiety
The nurse is planning the care of a 28-year-old female hospitalized with a diagnosis of myasthenia gravis. What schedule would be most appropriate for the organization of diagnostic procedures for this patient?
A) All at one time, to provide a longer rest period B) Before meals, to stimulate her appetite C) In the morning, with frequent rest periods D) Before bedtime, to promote rest
The nurse has admitted an 88-year-old male patient who has been diagnosed with urosepsis. What immune response predominates in sepsis?
A) Mitigated B) Nonspecific C) Cellular D) Humoral