A patient with chronic obstructive pulmonary disease and pneumonia is suffering from ineffective airway clearance related to secretions in the airways as evidenced by ineffective cough and adventitious breath sounds. The first intervention in a nurse's ca
re plan should be to
1. Increase the patient's supplemental oxygen to 5 L per nasal cannula.
2. Encourage the patient to increase fluid intake to help thin his or her mucus.
3. Decrease the patient's activities that require the use of accessory muscles.
4. Increase the patient's carbohydrate intake to improve his or her strength.
ANS: 2
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The ANA code of nursing ethics articulates that the nurse "promotes, advocates for, and strives to protect the health , safety, and rights of the patient." This includes the protection of patient privacy. On the basis of this principle, if you participate in a public online social network such as Facebook, could you post images of a patient's x-ray film if you deleted all patient identifiers?
A) Yes because patient privacy would not be violated as long as the patient identifiers were removed B) Yes because respect for autonomy implies that you have the autonomy to decide what constitutes privacy C) No because, even though patient identifiers are removed, someone could identify the patient based on other comments that you make online about his or her condition and your place of work D) No because the principle of justice requires you to allocate resources fairly
A client has been diagnosed with aortic stenosis. What alteration in the client's vital signs would the nurse expect to find upon assessment?
A. A bounding arterial pulse B. A slow, faint arterial pulse C. A narrowed pulse pressure D. Elevated systolic and diastolic pressures
The nurse is planning care for a group of patients and is deciding upon which activities to delegate to an experienced UAP. Which activities should the nurse plan to do, rather than delegate to the UAP? Select all that apply
1. Helping the patient get up in the chair at bedside. 2. Feeding a patient who had a cerebral vascular accident 3 years ago. 3. Monitoring an intravenous line for infiltration. 4. Monitoring vital signs on a newly admitted patient who is diagnosed with myocardial infarction. 5. Deciding to use an as needed order to administer an over-the-counter medication for a patient complaint of a headache.
Atherosclerosis impedes coronary blood flow by which of the following mechanisms?
a. Plaques obstruct the vein b. Plaques obstruct the artery c. Blood clots form outside the vessel wall d. Hardened vessels dilate to allow blood to flow through