The nurse is caring for a patient admitted with a diagnosis of muscular dystrophy resulting in inadequate muscle strength to draw enough air into the lungs. What nursing diagnosis would be most appropriate for this patient?
a. Ineffective Breathing Pattern
b. Ineffective Airway Clearance
c. Impaired Gas Exchange
d. Impaired Spontaneous Ventilation
ANS: D
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What is the nurse achieving through this approach? A) Interpreting what the patient has said B) Evaluating what the patient has said C) Assessing what the patient has said D) Validating what the patient has said
When administering parenteral medications, the nurse considers the viscosity of the fluid when determining which item?
1. The length of the needle required 2. The size of the syringe required 3. The size of the bevel required 4. The gauge of the needle required
In which position should the nurse place a newborn to administer oxygen by bag and mask?
A) Trendelenburg B) On the back with the neck slightly flexed C) On the back with the head slightly extended D) Position is unimportant as long as the tongue is pulled forward.
The nurse is caring for a patient with a fecal impaction. Which type of enemas will best assist in relieving the fecal impaction?
1. normal saline 2. oil retention 3. tap water 4. soap suds