A client has a tension pneumothorax, and a thoracotomy tube is placed. What is the MOST appropriate nursing goal for the client?

a. The client will complete an entire course of antibiotic therapy.
b. The client will have a respiratory rate and color within normal limits and clear breath sounds upon auscultation.
c. The client will increase activity without complaint or fatigue.
d. The client will verbalize an understanding of the disease process and its treatments.


B
Nursing care is focused on monitoring the client's breathing pattern and respiratory status, ensuring integrity of the closed chest drainage system, encouraging deep breathing and coughing, and administering prescribed analgesics.

Nursing

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Which of the following is most important in order for a new staff nurse to communicate therapeutically with patients?

a. Focusing interactions on educating patients about their treatments b. Becoming aware of own feelings about illness and death c. Sharing information about the intimate details of one's own life d. Presenting himself or herself as a knowledgeable and experienced clinician

Nursing

An adaptive challenge occurs when the problem is quite clear, but the solution is not easy to ascertain

a. True b. False

Nursing

A nurse is reviewing the medical notes of a client seen by the health care provider to determine whether the client is pregnant. The nurse determines that pregnancy was confirmed if which finding is documented?

A. Amenorrhea B. Palpable fetal movement C. Thinning of the cervix D. Positive result on home urine test for pregnancy

Nursing

A primary care NP sees a child who has honey-crusted lesions with areas of erythema around the nose and mouth. The child's parent has been applying Polysporin ointment for 5 days and reports no improvement in the rash. The NP should prescribe:

a. mupirocin. b. neomycin. c. a systemic antibiotic. d. Polysporin with a corticosteroid.

Nursing