A nurse identifies a nursing diagnosis of Risk for Ineffective Breathing Pattern related to incisional pain and restricted positioning for a client who has had a nephrectomy
Which of the following would be most appropriate for the nurse to include in the client's plan of care? A) Administer isotonic fluid therapy as ordered.
B) Keep the drainage catheter below the level of insertion.
C) Encourage use of incentive spirometer every 2 hours.
D) Monitor temperature every 4 hours.
C
Feedback:
To address the issue of ineffective breathing pattern, encouraging the use of incentive spirometer would be most appropriate to help increase alveolar ventilation. Administering isotonic fluid therapy would be appropriate for issues involving fluid loss such as bleeding or hemorrhage. Keeping the drainage catheter below the level of insertion would be appropriate to reduce the risk of obstruction leading to acute pain. Monitoring the temperature every 4 hours would be appropriate to reduce the client's risk for infection.
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1. 9 months of age. 2. 2–3 years of age. 3. 5–7 years of age. 4. 7–9 years of age.
When taking a 52-year-old's pulse rate, the nurse considers which of the following factors that might increase the client's pulse?(Select all that apply) Standard Text: Select all that apply
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A nurse who is contemplating taking a position in an intensive care unit is reviewing her strengths and weaknesses. Which characteristics of the nurse will be of the greatest benefit in the intensive care environment?
1. Feels comfortable in ever-changing situations 2. Closely evaluates the pros and cons of each decision for a long period of time before making a decision 3. Is quiet and introverted 4. Is excited about all new experiences
The goal of appropriate sampling in research is to
a. accurately reflect the characteristics of the target population. b. completely define the traits of the accessible population. c. identify all attributes of the sample population. d. study an entire population.