A client has severe adult (acute) respiratory distress syndrome (ARDS) and has not responded to several different treatments. An independent nursing action that might help the client would be to
a. administer antioxidants as ordered.
b. place the client in a prone position.
c. turn the client every 2 hours.
d. use meticulous hand-washing before client care.
B
Prone positioning improves oxygenation by changing the distribution of perfusion in the lungs. ARDS is thought to damage the most dependent parts of the lung, so by positioning the client prone, there is a change in the dependent portions and increased perfusion to the less damaged part. Positioning is an independent nursing function. Administering medications is a dependent nursing function. Hand-washing is always an important intervention, but will not improve oxygenation in a client with ARDS.
You might also like to view...
The caregiver works with suicidal clients to establish therapeutic rapport. The focused communications and concerned actions encourage suicidal persons to
1. feel in control. 2. feel self-worth. 3. talk about themselves. 4. feel foolish for thinking about suicide.
Which antiviral drug is commonly used to relieve symptoms of herpes simplex virus (HSV)?
a. Tetracycline (Achromycin) b. Acyclovir (Zovirax) c. Erythromycin (E-Mycin) d. Metronidazole (Flagyl)
The visualization of a large proportion of clue cells on your wet mount slide examination suggests:
a. trichomonal infection. b. bacterial vaginosis. c. candidiasis. d. gonorrhea.
A man who recently lost his wife of 50 years shares with the nurse that he'll "never get over missing her." The nurse is most therapeutic when responding
a. "We are here to help you anyway we can." b. "Focus on the beautiful memories you have of her and your life together." c. "Time will help you adjust to your loss." d. "You'll never get over your loss but you can learn to live with it."