A 15-year-old boy with cystic fibrosis is admitted with a bacterial infection of the lung and requires physiotherapy every 2 hours
His respiratory rate has been 24 breaths/min. During his therapy, the nurse notes his respiratory rate increases to 38 breaths/min. The nurse should:
A) Suction the patient and continue with the physiotherapy.
B) Finish the treatment and reposition the patient.
C) Stop the physiotherapy treatment.
D) Vigorously percuss the lobe for an additional 2 minutes.
Ans: C
Feedback: The nurse must stop physiotherapy if symptoms of increased pain, increased shortness of breath, weakness, light-headedness, or hemoptysis occur. Therapy is indicated until the patient has normal respirations, can mobilize secretions, and has normal breath sounds.
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The best nursing diagnosis for this family is: 1. Parental Role Conflict related to protecting the child. 2. Hopelessness related to the child's deteriorating condition. 3. Anxiety related to the critical care unit environment. 4. Family Coping: Compromised, related to the child's critical injury.
The nurse is caring for a client who has a history of alcohol abuse
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a. Stop the warfarin for 1 week, and then repeat the INR. b. Withhold one or more days of anticoagulant therapy. c. Restart therapy at a lower dose immediately. d. The prothrombin time (PT) and INR should be reevaluated within 1 month of the dosage adjustments.
It is the responsibility of the mother to establish ________ between themselves and their children
a. compassion
b. honesty
c. trust
d. a connection