The nurse has identified the diagnosis of ineffective airway clearance for an older client with pneumonia. Which intervention is most important to include when planning care for this client?
1. Chest percussion on a schedule
2. Administer a cough suppressant
3. Teach smoking cessation
4. Administer the pneumococcal vaccine
1. Chest percussion on a schedule
Explanation: 1. Chest percussion can help clear secretions.
2. The client will get a cough suppressant, usually at night, to facilitate rest. It is important not to keep the cough suppressed regularly, though, as this will worsen the pneumonia.
3. Smoking cessation will not help with the immediate need of ineffective airway clearance.
4. Administering the pneumococcal vaccine will not help with the immediate need of ineffective airway clearance.
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A major difference in the diagnosis of chronic disease between younger adults and older adults is that:
a. chronic disease is often diagnosed earlier in younger adults and measures can be im-plemented to prevent later problems. b. chronic disease is often diagnosed earlier in older adults since they are more likely to seek medical care. c. chronic disease is usually not identified in older adults because of the many age-related changes. d. chronic illness is uncommon in younger adults.
The nurse is collecting a urine specimen from a client and notes the urine is foamy and amber in color. The nurse would suspect which of the following in this situation?
1. Kidney stones 2. Urinary tract infection 3. Prostate disease 4. Liver disease
A nurse might be called on to stimulate the fetal scalp
a. As part of fetal scalp blood sampling b. In response to tocolysis c. In preparation for fetal oxygen saturation monitoring d. To elicit an acceleration in the FHR
The overall mission of Healthy People 2020 is to improve the nation's health. What topics are addressed to achieve this goal?
Select all that apply. 1. access to health services 2. nutrition and weight status 3. reproductive health 4. injury and violence 5. outpatient surgery