A nurse is caring for a patient with asthma with a nursing diagnosis of "Impaired gas exchange, related to air trapping." Which intervention is the most appropriate to add to the nursing care plan?
a. Provide postural drainage.
b. Administer oxygen (O2) at 8 L/min.
c. Position the patient flat in bed with small pillow.
d. Increase fluid intake.
D
Increasing fluid intake thins the mucus in the lungs, making it easier to cough up, which helps clear the bronchioles and decrease ventilation-perfusion mismatch. Increasing O2 is not helpful if no air pathway exists to the alveoli. Increasing O2 to 8 L is excessive.
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A patient was admitted to the emergency department after sustaining a gunshot wound to the abdomen. Hemoglobin on admission was 11.4 g/dL and is currently 9.8 g/dL. A transfusion of two units of packed red blood cells has been ordered
A nurse newly employed in the ED says, "I didn't think we gave blood until the hemoglobin is 8 or lower.". How should the nurse manager respond? 1. "You are correct.". 2. "This patient is being given blood because of the possible damage in the abdomen.". 3. "When a patient is sustaining rapid loss of significant amounts of blood, the hemoglobin standard is not honored.". 4. "Because the patient is going to surgery, we must give blood prophylactically.".
"Clue cells" are an indication of:
1. A change in the normal organisms in the mouth. 2. A change in the normal organisms in the stomach. 3. A change in the normal organisms on the skin. 4. A change in the normal organisms in the vagina.
Which options reflect the core concepts from the Institute of Medicine's Initiative on the Future of Nursing? Select all that apply
1. The electronic health record should be eliminated. 2. A balance among technologies, disruptive business models, and human needs should be achieved. 3. Rapid translational teams should be implemented. 4. Healthcare design should be focused on provision of nursing care. 5. Create an infrastructure for rapid network exchange of successful system design innovations.
The nurse is assessing a client who will be having an orthopedic surgery. The client takes an anti-psychotic medication and shares that he has recently started using two herbal preparations for his nerves. The nurse should:
1. Ask for the specific names of the herbal compounds 2. Go on to another interview question since herbal compounds are not important 3. Tell him to stop using the herbal preparations because they are not effective 4. Explain that his physician will not be happy with his self-prescribing