Because her advancing lung cancer will likely result in respiratory distress, which
interventions should you include in her plan of care? Select all that apply.
a. Perform a respiratory assessment at each visit.
b. Administer low-dose morphine sulfate if vital signs are adequate.
c. Maintain room at a warm temperature and have blankets available.
d. Have her space activities and rest as needed in a position of comfort.
e. If oxygen saturation falls below 90% on room air, begin oxygen at 2 L.
a, b, d, e
Low levels of oxygen might be used to relieve some dyspnea and alleviate anxiety. Low-dose
morphine sulfate might be ordered, if vital signs permit, to dilate pulmonary vasculature and to
relieve pulmonary congestion and anxiety. Maintain the room at a cool, not warm, temperature,
using a fan as needed.
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In talking with the nursing students about scleroderma the nursing instructor refers to the CREST syndrome. These are clinical manifestations that may be related to scleroderma. What does the "R" in CREST stand for?
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