A client has chronic obstructive pulmonary disease (COPD) exacerbation. The pulse oximeter shows a saturation of 86% on room air. The nurse assesses diminished lung sounds and low-pitched wheezing posteriorly, shallow respirations, respiratory rate of 32/min, and use of accessory muscles. What is the most appropriate oxygen delivery device for this client?
a. Nasal cannula
b. Non-rebreathing mask
c. Oxymizer
d. Venturi mask
Answer: d. Venturi mask
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An appropriate nursing intervention for the patient with a hydrocele is to
a. apply a heating pad. b. apply ice packs. c. apply analgesic spray. d. limit fluid intake.
A child has undergone a kidney transplant, and is receiving cyclosporine. The parents ask the nurse about the reason for the cyclosporine. Which is the correct explanation of the drug's purpose?
1. It boosts immunity. 2. It suppresses rejection. 3. It decreases pain. 4. It improves circulation.
The nurse is caring for a patient who recently had surgery to repair a hernia. The patient's pain was 7 out of 10 before receiving pain medication. One hour after receiving an oral opioid, the patient ranks his pain at 3 out of 10
The patient asks the nurse why he isn't receiving more pain medication. Which is the nurse's best response? a. "This medication can be given only every 4 hours. It is not time for you to have any other pain medication right now." b. "I will notify the health care provider to come perform an assessment if your pain doesn't improve in 30 minutes." c. "If the pain becomes severe, we may need to transfer you to an intensive care unit." d. "It can take 2 hours for oral pain medication to work, and your pain is going down. Let's try boosting you up in bed and putting an ice pack on the incision to see if that helps."
The nurse is caring for a group of elderly clients. What are the nursing interventions for elderly clients who are at high risk of fluid and electrolyte imbalance?
1 . Encourage the client to increase intake of food and fluids 2 . Encourage the client to exercise 3 . Monitor the client's potassium intake 4 . Monitor the client's blood pressure A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4