A client with chronic obstructive pulmonary disease (COPD) is admitted for pneumonia. The client is restless. The nurse identifies a diagnosis of impaired gas exchange. Which intervention is most effective in promoting adequate gas exchange?
a. Administer morphine
b. Administer oxygen using Venturi mask
c. Maintain intravenous normal saline infusion at prescribed rate of 125 mL/hr
d. Position head of bed in semi-Fowler's position
Ans: b. Administer oxygen using Venturi mask
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A nurse is caring for a client receiving fosfomycin for the treatment of an acute bacterial UTI. Which of the following interventions should the nurse include in the teaching plan for the client about this drug?
A) Ensure that the drug is administered every 3 hours. B) Administer the drug after dissolving it in 90 to 120 mL of hot water. C) Ensure that the drug is administered immediately after mixing with water. D) Administer the drug on an empty stomach.
Your patient has just returned to the unit from the PACU after breast surgery for removal of a malignancy. You are planning this patient's care. What would be an appropriate major nursing diagnosis for you to include in this patient's plan of care?
A) Disturbed sensory perception related to nerve irritation in breast B) Self-care related to fear of moving affected arm C) Deficient knowledge: care of unaffected breast D) Undisturbed body image related to loss of the breast
What is an appropriate statement to make when discussing battering with a victim?
a. Leave the abuser immediately. c. You do not deserve to be hit. b. He didn't mean to do it. d. Does he hit your children?
A patient has been admitted with a diagnosis of hyperemesis
Which orders written by the primary health care provider are the highest priority for the nurse to implement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Obtain complete blood count. 2. Start intravenous with multivitamins. 3. Check admission weight. 4. Obtain urine for urinalysis. 5. Give a medication to stop the nausea and vomiting.