A client receiving high-flow oxygen has new crackles and diminished breath sounds since the last assessment 1 hour ago. Which action by the nurse is most appropriate?
a. Call respiratory therapy and request a bronchodilator treatment.
b. Instruct the client to use the spirometer and to cough and deep breathe.
c. Consult with the health care provider and request an order for diuretics.
d. Ensure that the ordered FiO2 is what is being provided.
B
A client who is receiving high rates of oxygen is at risk for absorption atelectasis, in which the normal nitrogen in the air becomes diluted and the alveoli collapse. Hallmarks of this condition include new onset of crackles and diminished breath sounds. Spirometer use, coughing, and deep-breathing exercises would help to re-expand the alveoli. None of the other options are appropriate choices.
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A nursing instructor is teaching about the etiology of IAD from a psychoanalytical perspective. What student statement about clients diagnosed with this disorder indicates that learning has occurred?
1. "They tend to have a familial predisposition to this disorder." 2. "When the sick role relieves them from stressful situations, their physical symptoms are reinforced." 3. "They misinterpret and cognitively distort their physical symptoms." 4. "They express personal worthlessness through physical symptoms, because physical problems are more acceptable than psychological problems."
A patient who has been experiencing numerous episodes of unexplained headaches and vomiting has subsequently been referred for testing to rule out a brain tumor. What characteristic of the patient's vomiting is most consistent with a brain tumor?
A) The patient's vomiting is accompanied by epistaxis. B) The patient's vomiting does not relieve his nausea. C) The patient's vomiting is unrelated to food intake. D) The patient's emesis is blood-tinged.
A nurse is working with a local agency to provide care to the inadequately insured by helping to staff an after-hours clinic. This nurse is demonstrating which value of client advocacy?
1. The client has the right to make choices and decisions. 2. The client has the right to expect a nurse–client relationship based on shared respect. 3. The nurse has the responsibility to ensure the client has access to health care services 4. The nurse has the responsibility to to make choices and decisions.
A community/public health nurse is investigating the current health threats that are occurring at the global level. Which of the following concerns is the nurse likely to discover?
a. Shortage of health care professionals b. New infectious diseases c. More potent drugs d. Terrorism