To prevent respiratory complications resulting from immobility, the best nursing interventions would be to:

1. suction every 4 to 6 hours.
2. administer pain medications as frequently as possible.
3. teach the patient the technique of pursed lip breathing.
4. reposition the patient and encourage him or her to cough and deep-breathe at least every 2 hours.


4
When a person remains immobile or does not take deep breaths, thick secretions can accu-mulate and pool in the lower respiratory structures.

Nursing

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The nurse is working with a patient in the ICU who has presbycusis. Which of the following would the nurse likely find with this client? Select all that apply

A) Impairment of discrimination ability B) Dementia C) A gray shadow in the center of the visual area D) Balance problems during transfer

Nursing

Which term is used to describe a type of fracture that does not produce a break in the skin?

a. Simple b. Compound c. Complicated d. Comminuted

Nursing

An 18-month-old child is ventilator-dependent due to infantile scoliosis. This is the first time the child has been home since birth. His parents are very concerned about providing care. It is most important to assist the parents with:

A) financial needs of care. B) health assessment. C) emotional bonding. D) genetic counseling.

Nursing

A direct physiologic effect of carbonated beverages on teeth that is conducive to dental caries is that they:

a. increase sugar on teeth surfaces. b. increase bacteria in the mouth. c. decrease the pH of the mouth. d. decrease tooth enamel.

Nursing