A client has pneumonia. Which of the following evaluations does the nurse make about the effectiveness of the client's cough?
a. The client has a frequent, dry cough.
b. The client has decreased adventitious sounds on auscultation.
c. The client is breathing with deeper inhalation.
d. The client's oxygen saturation is improved.
B
Decreased adventitious sounds indicate that the client has coughed up sputum. The effectiveness of coughing is evaluated by sputum expectoration and the client's report of swallowed sputum.
A dry cough is not productive and does not clear the airway.
Deeper inhalation is not indicative of an effective cough.
Oxygen saturation measures arterial oxygen levels, not cough effectiveness.
You might also like to view...
A client, aged 16 years, comes to the crisis clinic. The nurse learns she is being molested by her
uncle. The client told her mother of the uncle's behavior, but the mother accused the daughter of lying. The client describes feeling "all confused" and subsequently cutting her wrists. Nursing diagnoses that would be appropriate to consider developing include (more than one choice may be correct) A. ineffective coping related to crisis involving attempted sexual abuse by uncle. B. disturbed thought processes related to anxiety associated with crisis of sexual abuse. C. anxiety rel ated to threat to emotional and physical safety caused by sexual abuse. D. compromised family coping related to mother's cooperation with uncle's sexual abuse of client.
A patient who just suffered a hemorrhagic stroke is brought to the emergency department by ambulance. What should be the nurse's primary assessment focus?
A) Cardiac and respiratory status B) Seizure activity C) Urinary output D) Fluid and electrolyte balance
The nurse manager is planning critical incident defusing for staff who provided care for patients injured in a house fire
What should be included in this planning? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Plan for each session to last 2 to 3 hours. 2. Gather groups of no more than 6 to 8 staff members. 3. Develop groups according to shift worked. 4. Emphasize strict confidentiality within the group. 5. Record level of participation in the groups.
The American Nurses Credentialing Center (ANCC) developed the Magnet Recognition Program for hospitals to address quality patient care. What is the significance of achieving magnet status?
a. Excellence in quality patient care and recruitment and retention of nurses b. Excellence in research, patient care, and retention of physicians c. Excellence in recruiting nurses, early discharge, and effective billing d. Excellence in recruitment and retention of ancillary caregivers