The client has an increased anteroposterior chest diameter, dyspnea, and nasal flaring. The most appropriate nursing diagnosis is
A) Hypoxia related to pneumonia and ineffective airway clearance related to dyspnea edema
B) Ineffective breathing pattern related to hyperventilation related to increased anteroposterior diameter
C) Risk for ineffective airway clearance related to infection as evidenced by dyspnea and yellow-green sputum
D) Impaired gas exchange related to increased carbon dioxide and irritability
Ans: B
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Range-of-motion exercises, early ambulation, and adequate hydration are interventions to prevent:
a. catheter-associated infection. b. venous thromboembolism. c. fat embolism. d. nosocomial pneumonia.
The nurse would be aware that a client with the diagnosis of endometriosis may require additional emotional support, because the major complication of this disease is
a. cervical cancer. b. endometrial cancer. c. infertility. d. pelvic inflammatory disease.
A nurse is administering morning medications. The nurse gives a patient multiple medications, two of which compete for plasma albumin receptor sites. As a result of this concurrent administration, the nurse can anticipate that what might occur?
(Select all that apply.) a. Binding of one or both agents is reduced b. Plasma drug levels of free drug will rise c. Plasma drug level of free drug will fall d. The increase in free drug can intensify effects e. The increase in bound drug can intensify effects
A 30-year-old client says to the nurse, "I want to die. I think about it a lot, but I don't know how in the world to do it." Based on the client's statement, what does the nurse determine?
A. There is no suicide risk B. There is a minimal suicide risk C. Suicide has been attempted unsuccessfully D. The risk for suicide exists and continued assessment is needed