The nurse receives orders on several patients for chest percussion, vibration, and shaking. The nurse is aware that chest physiotherapy maneuvers are indicated for which patient?
a. 18-year-old who sustained thoracic trauma from a motor vehicle accident
b. 75-year-old with osteoporosis who is underweight
c. 15-year-old with cystic fibrosis
d. 20-year-old with a fractured clavicle
C
Chest physiotherapy (CPT) and coughing maneuvers assist with airway clearance of mucus in patients with retained tracheobronchial secretions. Secretions accumulate in the airways of patients with bronchitis, asthma, cystic fibrosis (CF), pneumonia, and bronchiectasis. Thoracic trauma, osteoporosis, and fracture of rib cage structures such as the clavicle contraindicate percussion, vibration, and shaking.
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A parent of a 2 year-old asks the nurse about the difference between growth and development. The nurse explains that
1. Indicators of growth include height, weight and development of teeth 2. Growth refers to a person's ability to adapt to the environment 3. Development is rapid during the prenatal and neonatal stages 4. Growth is an increase in the complexity of function
The postoperative client displays sudden chest pain, shortness of breath, cyanosis, tachycardia, and low blood pressure. The nurse suspects which postoperative complication?
1. Pneumonia 2. Atelectasis 3. Hypovolemia 4. Pulmonary embolism
While caring for an elderly client, the nurse notices the client is exhibiting increased episodes of forgetfulness, restlessness, and increased anxiety. Which assessment data is most significant for this client?
A) Age at retirement B) Hobbies and activities C) Recent loss of spouse D) Ability to care for own ADLs
Which statement by the nurse is best when communicating with a patient with clinical depression?
a. "It's a beautiful day today; you'll feel better if you look out the window." b. "You're having a bad day; I'm sure you'll feel better soon." c. "Life seems overwhelming at times; would you like to discuss how you're feeling?" d. "You are very lucky to have such a supportive family."