The nurse instructs the client with chronic obstructive pulmonary disease (COPD) to practice pursed-lip breathing and explains that this breathing technique is done:
1. to break up mucus that has accumulated in the airway.
2. to use the abdominal muscles to breathe, giving the diaphragm a rest.
3. to prolong exhalation to help remove carbon dioxide from the lungs.
4. to prolong inhalation to help bring more oxygen to the lungs.
Answer: 3
1. It does not help to break up mucus.
2. Use of abdominal muscles improves diaphragmatic movement.
3. The alveoli become less elastic and tend to collapse with expiration, causing air to be trapped in the lungs. Expiration is prolonged.
4. Expiration, not inspiration, is prolonged.
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The hospital has a very formal organizational structure and culture
Which conditions or events would indicate that a counterculture is developing within this hospital? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Collaboration and work sharing are becoming more common among nurses in specialty care units. 2. An informal group of nurses, radiology technicians, and physical therapists have been discussing how to better care for clients with hip replacements. 3. Nurses have begun questioning the wisdom of standardizing some nursing procedures. 4. Staffing has become less flexible as more nurses specialize in one aspect of care. 5. A recently updated organizational chart indicates the line authority for each position.
Which of the following nursing interventions would be a priority when caring for a newborn who is receiving phototherapy for high bilirubin levels? Select all that apply
A) Frequent monitoring of temperature B) Keeping diapers dry and clean C) Maintaining oral intake to prevent dehydration D) Putting lotion on his skin frequently to prevent drying/cracking of skin E) Applying sunscreen to prevent ultraviolet radiation
The nurse is providing care to a client requiring restraints. How often does the nurse assess the client and document the assessment?
1. Once per shift 2. Once a day 3. Once every 4-6 hours 4. Once every 1-2 hours
For an 8-year-old client, which route would the nurse use for taking the child's temperature?
a. axillary c. rectal b. oral d. client's preferred