The patient has advanced emphysema and complains of dyspnea and fatigue. What would the most appropriate nursing intervention be for the nursing diagnosis of Activity intolerance related to an imbalance between the oxygen supply and demand?
a. Direct patient in vigorous independent ROM.
b. Allow to exercise until respirations are over 20 breaths/min over baseline.
c. Plan care to provide optimum rest.
d. Provide frequent cool showers.
ANS: C
Nursing interventions will be directed at attempting to decrease the patient's anxiety and promote optimal air exchange. The nurse should allow sufficient rest periods and should assist the patient in activities of daily living.
You might also like to view...
Cultures have unique value orientations, which provide order and give direction to individuals, in these five areas
a. good/evil, past/present, being/doing, linear/collateral, domination/subjugation. b. human relations, time, place, work, relation to universe. c. personal, family, social, occupational, spiritual. d. time, human nature, activity, relational, people-to-nature.
A client is admitted to your unit in the hospital. It is a busy night and you begin the admission immediately
You discover that the client does not speak English. It will take 20 minutes for the hospital interpreter to arrive, so you use the husband as an interpreter. One of the pitfalls of using a family member as an interpreter is A) the family member's English may be limited. B) the conversation violates the client's right to privacy. C) the family member may not answer questions accurately. D) the family member may not know the client's medications.
Which of the following safety topics is the most appropriate for the nurse to discuss with mothers of preschoolers?
A) Taking baths alone B) Bicycle safety C) Crossing streets alone D) Safety zones
The nurse is caring for a patient who is taking digitalis. The patient complains of increased thirst, and the nurse observes dry mucous membranes. Which additional finding warrants the nurse's immediate attention?
a. Sudden, sharp knee pain b. Blurred vision c. Epistaxis d. Chills