The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease. Which of the following interventions require extra care by the nurse?
1. Administering pain medications
2. Applying a cardiac monitor
3. Encouraging fluids
4. Teaching the client diaphragmatic breathing
1
Administering pain medications (narcotics) requires extra care by the nurse because these medications can depress respiratory status and worsen hypercapnia. Increasing fluids helps thin the client's secretions and is encouraged. Applying a cardiac monitor and monitoring the rhythm is part of a normal assessment. Teaching diaphragmatic breathing does not require extra care.
You might also like to view...
A nurse is educating the parents of a child diagnosed with major depression prescribed a selective serotonin reuptake inhibitor (SSRI). The parents do not want to fill the prescription because they have heard SSRIs increase the risk of suicide in children
Which statement by the nurse is most appropriate? A. "I will convey your concerns to your health-care provider." B. "If you don't want your child to take the medication, don't fill it." C. "SSRIs have been used for many years to treat depression." D. "This information is controversial, so watch your child carefully."
Hypomagnesemia is a common yet often overlooked imbalance in acutely and critically ill patients. Which of the following patients is most likely at the highest risk of experiencing low serum magnesium levels?
A) An obese male patient who has a history of atherosclerosis and a previous non-ST wave elevation myocardial infarction B) A patient who is temporarily receiving total parenteral nutrition (TPN) as a result of complications from gastric bypass surgery C) A female patient who has liver cirrhosis and who is experiencing withdrawal from heavy alcohol use D) A teenage patient who is currently being treated for non-Hodgkin's lymphoma (NHL)
Kolcaba defines interventions that produce the best possible patient and family outcomes, based on empirical evidence, as
A. Best policies. B. Best practices. C. Best measures. D. Best interventions.
A patient who has just learned she is pregnant has stopped using a prescription medication that she takes for asthma because she doesn't want to harm her baby. What will the nurse tell her?
a. That asthma medications will not affect the fetus b. That her baby's health is dependent on hers c. To avoid taking medications during her pregnancy d. To resume the medication in her second trimester