A home health nurse encourages the family of a patient with an SCI to use the assisted cough technique. What does this technique require the caregiver to do? (Select all that apply.)
a. Assist the patient to inhale a bronchodila-tor spray and then cough.
b. Forcefully press on patient's back below the rib cage while the patient is in the prone position.
c. Assist the patient to lean forward, breathe deep, and then cough.
d. Apply pressure to diaphragm as the patient coughs.
e. Slap the patient on upper back while the patient is in the prone position.
D
To assist the patient with an SCI to cough, the caregiver applies pressure on the diaphragm as the patient attempts to cough after having taken a deep breath.
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Which measurement can the nurse delegate to nursing assistive personnel?
a. Oral fluid intake b. Intravenous fluid intake c. Tube drainage output d. Nasogastric tube intake
The statement, "The patient will be able to self-administer an aerosol nebulizer treatment by the date of discharge," is an example of which step of the nursing process?
a. Implementation b. Diagnosis c. Evaluation d. Planning
The nurse explains that the urge to void occurs when the bladder contain as little as ______ mL of urine
Fill in the blank(s) with correct word
A client in the emergency department has died from a suspected homicide. What is the nurse's priority intervention?
a. Remove all tubes and wires in preparation for the medical examiner. b. Limit the number of visitors to minimize the family's trauma. c. Consult the bereavement committee to follow up with the grieving family. d. Communicate the client's death to the family in a simple and concrete manner.