The nurse is working on a respiratory care unit in the hospital. On entering the room of a patient with emphysema, the nurse notes that the patient is experiencing respiratory distress. Which of the following actions should the nurse take?
a. Instruct the patient to breathe rapidly.
b. Provide oxygen at 2 L per minute via nasal cannula.
c. Immediately place the patient in the supine position.
d. Contact the physician.
B
Feedback
A The nurse should instruct the patient to use pursed-lip breathing.
B The nurse should provide a low concentration of oxygen to the patient.
C The most effective position for the patient with cardiopulmonary disease is the 45-degree semi-Fowler's position, using gravity to assist in lung expansion and reduce pressure from the abdomen on the diaphragm.
D The nurse's first priority should be to attend to the patient, who is in respiratory distress, not to contact the physician.
You might also like to view...
A nurse has just finished administering medications through a client's gastrostomy tube. The nurse would clamp the tube for at least how many minutes?
1. 5 to 10 2. 20 to 30 3. 60 to 90 4. 90 to 120
As an advocate for leukemia research, the nurse along with many others succeeded in urging the U.S. Congress to debate and vote on a bill that significantly increases federal funding for this research
Which system level would such an intervention address? A) Upstream B) Mainstream C) Sidestream D) Downstream
The nurse is providing teaching for the mother of an infant who receives all of his nutrition through a tube. The nurse is reviewing interventions to promote growth and development. Which response from the mother indicates a need for further teaching?
A) "I will give him a pacifier during feeding time." B) "We need to keep feeding time very quiet." C) "We need to make sure he doesn't lose the desire to eat by mouth." D) "Sucking produces saliva, which aids in digestion."
A client with schizophrenia is seen in the Emergency Department in an acutely agitated state due to threatening auditory hallucinations
The client's medical record indicates he has had severe dystonic reactions to parenteral admin-istration of typical antipsychotic medication. The nurse can anticipate that the physician will or-der: 1. Ziprasidone (Geodon) IM 2. Fluphenazine (Prolixin) decanoate 3. Clozapine (Clozaril) IM 4. Paroxetine (Paxil) IM