Chest percussion, vibration, and shaking are indicated for clients with:
A. Osteoporosis
B. Sternal pain
C. Pneumonia
D. Severe dyspnea
C
C. These maneuvers assist with airway clearance of mucus in clients with retained tracheobronchial secretions. Secretions accumulate in patients with bronchitis, asthma, cystic fibrosis, pneumonia, and bronchiectasis.
A and B. Steroid medications, age, and malnutrition increase the client's risk of pathological rib fractures and often contraindicate rib shaking.
D. Know the client's normal range of vital signs. Conditions such as atelectasis and pneumonia requiring CPT can affect a client's vital signs. The degree of change is related to the level of hypoxia, overall cardiopulmonary status, and tolerance to the procedure.
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A 36-year-old man with a complex medical history is frail and emaciated and recently fainted due to weakness. He has a history of movement disorder and has been prescribed appropriate drugs to treat it
A priority nursing assessment will be to question him concerning his A) professional life. B) marriage and sexual health. C) nutritional intake. D) mental and emotional well-being.
The perinatal nurse assessing a newborn for jaundice recalls that ________________ is a process that converts the yellow lipid-soluble (non excretable) bilirubin pigment (present in bile) into a water-soluble (excretable) pigment
Fill in the blank(s) with correct word
A patient who arrives at the emergency department experiencing severe left knee pain is diagnosed with a patellar dislocation. The initial patient teaching by the nurse will focus on the need for
a. a knee immobilizer. b. gentle knee flexion. c. monitored anesthesia care. d. physical activity restrictions.
When providing care to patients, nurses make patient care decisions based on which of the fol-lowing? (Select all that apply.)
a. Resource availability b. Nurse practice act c. Shared governance d. Managerial leadership style e. Tradition f. Clinical circumstances