Which clinical manifestation alerts you to the presence of hypoventilation when you are monitoring a client with chronic lung disease and hypercarbia who is receiving oxygen ther-apy?
A. Coarse crackles and wheezes on auscultation
B. Slow, shallow respirations
C. Pulse oximetry of 90%
D. Clubbing of the fingers
B
As the client's PaO2 rises, the client's color and pulse oximetry improve and cannot be used to determine hypoventilation. As the client's PaO2 rises, respirations decrease in depth and rate, in-dicating hypoventilation.
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The population health nurse is caring for a family with a child diagnosed with a chronic illness. On what should the nurse focus when addressing the needs of the parents who are caring for this child? (Select all that apply.)
1. Reorganizing family roles. 2. Using the Internet for support. 3. Developing specific care skills. 4. Meeting other family responsibilities. 5. Encouraging the child's development.
When changing a central venous dressing, the nurse understands that the rationale to prevent complications such as infection include:
a. explaining the procedure to the client b. the use of aseptic dressing changes c. the use of medical asepsis for dressing changes d. the development of systemic infection
Which statement about patient classification systems is the most accurate?
A) Classification systems are able to solve staffing problems. B) Nursing care hours assigned to a classification system should remain constant. C) A good classification system is without fault. D) Internal and external forces may affect classification systems.
A nurse is caring for a young man who is squatting in an old factory a mile away. The nurse documents that he is experiencing what type of homelessness?
A. Primary B. Secondary C. Tertiary D. He is not homeless because he has an indoor shelter in which to sleep.