The nurse is caring for several patients postoperatively following abdominal surgery. Which patient will benefit the least from the use of incentive spirometry?
a. Middle-aged male with a history of smoking since high school
b. Elderly female with type 2 diabetes
c. Middle-aged female with a history of chronic respiratory disease
d. Adolescent female with atelectasis
B
Incentive spirometry (IS) assists the patient in deep breathing. It is used most often following abdominal or thoracic surgery to help reduce the incidence of postoperative pulmonary atelectasis. It is especially beneficial in patients with a history of smoking, pneumonia, chronic respiratory disease, or atelectasis.
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A patient with Addison disease asks why she must take hydrocortisone. What should the nurse relay that the action of hydrocortisone is with Addison disease?
a. Increases cardiac output b. Regulates the excretion of potassium and sodium c. Decreases the level of cortisol d. Lowers the blood sugar level
The nurse is administering medications to the patient who is in renal failure resulting from end-stage renal disease. The nurse is aware that patients with kidney failure would most likely have problems with which pharmacokinetic phase?
a. Absorption b. Distribution c. Metabolism d. Excretion
When healthy, a patient had requested that all life-sustaining measures be implemented
Now the patient has Alzheimer's and had a deterioration in health that severely limits quality of life. The patient's only child is petitioning that the parent not be placed on life support again and be given only palliative care. The nurse assessing this ethical situation following the procedure would place the steps in what order? (Place in order of the Situation Assessment Procedure). Put a comma and space between each answer choice (for example: a, b, c, d). a. Discuss with the ethics committee possible alternatives that would be acceptable to the family while considering the patient's wishes. b. After the family presents two alternatives, work with the committee and family to agree on one alternative. c. Provide rationale for the selection made. d. Carefully assess the situation to identify the ethical issue and concerns.
A patient has been prescribed silver sulfadiazine (Silvadene) cream to treat burns on his leg. Normal adverse effects of silver sulfadiazine cream include:
1. Transient leukopenia on days 2 to 4 that should resolve 2. Worsening of burn symptoms briefly before resolution 3. A red, scaly rash that will resolve with continued use 4. Hypercalcemia