The nurse is caring for an older adult client with a history of chronic lung disease who will be undergoing surgery the following day. When postoperative care is planned, which potential problem is the highest priority for this client?
a. Maintaining oxygenation
b. Tolerating activity
c. Anxiety and fear
d. Hypovolemia
A
Breathing problems take priority over the other problems listed. This would be compounded in a client with any chronic lung disorder.
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An older client with a history of hypertension and osteoarthritis who has recently fallen and fractured two ribs is prescribed extra strength Tylenol for the pain. What statement by the client requires further evaluation by the nurse?
a. "I find that when I drink herbal tea and then take my Tylenol at bedtime, I sleep through the whole night." b. "I heard that meditation may help me deal with the pain without taking all that Tylenol." c. "Two extra strength Tylenol tablets (500 mg/tablet) every 4 hours around-the-clock and my pain is gone." d. "I make sure that I take my Tylenol with breakfast when I first get up."
A 22-year-old man is recovering from injuries obtained in an automobile accident in which he was the driver and his 20-year-old girlfriend was killed
His parents have requested that informa-tion about the girl's death be withheld from the client, including restricting visitors and phone calls. While bringing the client a PRN pain medication, the nurse notices that the local television lead news story is about the accident. Select the best action by the nurse in response to this situa-tion. a. Talk loudly to the client so that he will not be able to hear the news. b. Turn off the television, stating that the pain medication will work better with less environmental stimuli. c. Leave the television on and then answer any questions the client has. d. "Accidentally" change the channel while raising the head of the bed.
A postmenopausal client with a history of stroke is told she cannot take female hormones because of the risk for future thromboembolic events. The client asks about nonpharmacologic ways to manage her symptoms. Which herbs does the nurse suggest as alternatives?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Soy B. Black cohosh C. Evening primrose D. Saw palmetto E. Acai
A client is prescribed ipratropium and cromolyn sodium. What will the nurse teach the client?
a. "Do not take these medications within 4 hours of each other." b. "Take the ipratropium at least 5 minutes before the cromolyn." c. "Administer both medications together in a metered-dose inhaler." d. "Take the ipratropium only in the mornings."