What is the priority nursing diagnosis for the client receiving nonhumidified oxygen therapy of 40% (6 L/min) by simple mask?
A. Risk for Injury
B. Impaired Oral Mucous Membranes
C. Risk for Infection
D. Impaired Gas Exchange
A
Oxygen therapy without humidification dries the mucous membranes of the nasal, oral, and res-piratory passages, increasing the risk for tissue injury as well as for client discomfort.
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What is the most important criterion for success for health care providers to collaborate on patient care?
A) Have mutual respect for one another's knowledge and expertise B) Have the skills to negotiate successfully C) Like each other enough to want to collaborate D) Be willing to cooperate with each other
The nurse is assessing the fundus of a patient on postpartum day 2 . What should the nurse expect when palpating the fundus?
A) Fundus 4 cm above symphysis pubis and firm B) Fundus height 4 cm below umbilicus and midline C) Fundus two fingerbreadths below umbilicus and firm D) Fundus two fingerbreadths above symphysis pubis and hard
A mother calls the school nurse and is concerned because her 13-year-old daughter's friends wear heavy makeup and black clothes. Which of the following is the best advice for the mother?
A) "This can lead to piercings and tattoos.". B) "The teen years are a time for experimenting.". C) "Encourage her to socialize with the kids at church.". D) "Teen appearance might not accurately reflect their actual values.".
The nurse is starting preoperative teaching when the client receives a phone call from work. When the nurse resumes teaching, the client is visibly upset. The most therapeutic initial approach is to:
1. Encourage the client to verbalize concerns and feelings, and then do health teaching when the client is able to listen. 2. Tell the client that it is important to focus on the preoperative teaching so that recovery will be faster. 3. Reassure the client that whatever is happening at work can be dealt with in the workplace. 4. Encourage the client to do problem solving.