A patient who is very frail and thin with osteoporosis has just undergone abdominal surgery. The nurse anticipates that which technique will be used to control respiratory secretions in this patient?
a. Forceful coughing
b. Percussion
c. Vibration
d. Shaking
A
Thin, frail patients with osteoporosis are most susceptible to injury and are taught other secretion control measures (e.g., forceful coughing, humidification). Percussion, vibration, and shaking are contraindicated with rib fracture; fracture of other rib cage structures such as clavicle or sternum; pain; severe dyspnea; and severe osteoporosis.
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A client has been brought to the emergency department (ED) by a family member. The client is speaking incoherently. To obtain information about the client's current health status, what should the nurse do?
1. Call the client's healthcare provider. 2. Call the Medical Records department to obtain other records for the client. 3. Discuss the situation with the family member who brought the client to the hospital. 4. Conduct a thorough physical assessment and document the health history as "unable to obtain."
Place the instructions for controlled coughing in the correct sequence. (Separate letters by a comma and space as follows: A, B, C, D)
a. Inhale deeply and hold breath for a count of three b. Document exercise and patient reaction c. Cough 2 or 3 times without inhaling then relax d. Take several deep breaths e. Inhale through nose f. Exhale through pursed lips
The client is a 72-year-old man who has just been prescribed an antihistamine for viral rhinitis. The nurse should caution the client that these medications may worsen which one of the client's coexisting medical problems?
A. Asthma B. Hypotension C. Kidney stones D. Urinary retention
Medial and lateral surfaces of the tibiotalar joint are protected by:
a. bursae. b. tendons. c. muscles. d. ligaments.