8. Postoperatively, which action should the nurse take to assess Simone for atelectasis? a) Observe the appearance of the sputum b) Auscultate the client’s breath sounds c) Auscultate the client’s bowel sounds d) Measure the client’s respiratory rate and rhythm
Please provide a rational
Atelectasis is the inability of the lungs to function normally due to fluid filled in the alveolar sac.This blocks the air passage leading to difficulty in breathing. On auscultation the breath sounds are dull at the area of atelectasis.
Ans.a.Auscultate the client's breath sound
8. Postoperatively, which action should the nurse take to assess Simone for atelectasis? a) Observe the...
9. Postoperatively, the nurse assesses Simone’s bowel sounds and note that they are hypoactive. What action should the nurse implement in response to this finding? a) Notify the surgeon of the assessment finding b) Review the client’s serum electrolyte values c) Document the assessment finding in the chart d) Administer a laxative prescribed for PRN us Please provide a rational
A nurse is inserting an NG tube for a client who requires gastric decompression. Which of the following actions should the nurse take to verify proper placement of the tube? Place the end of the NG tube in water to observe for bubbling. Auscultate 2.5 cm (1 in) above the umbilicus while injecting 15 mL of sterile water. Assess the client for a gag reflex. Measure the pH of the gastric aspirate A nurse is caring for a client who...
7. Simone is ready for surgery. She states that she feels calm and is ready. She is transferred to the operating room. After general anesthesia is induced, the nurse positions Simone for surgery. Once the OR team assembles, the circulating nurse calls for a time out. Which action should the nurse take during the time out (Universal Protocol)? a) Check that all surgical personnel are properly attired b) Ensure that sufficient surgical supplies are available c) Review the scheduled procedure,...
1. The nurse is suggesting interventions for a client with chronic constipation. In which order should the nurse make these recommendations? Place then in order from 1strecommendation to last recommendation. Docusate. Enema. Increase fiber intake. Bisacodyl. Prune Juice. 2. A nurse observes this rash while assessing an infant, recognizing that it is a result of urinary incontinence. What intervention whould be added to the plan of care Leave the skin open to air as much as possible Apply lubricant jelly...
The nurse provides 240 mL of feeding through a client's gastrostomy tube. What should the nurse do to ensure that the tube remains patent? O Clamp the feeding tube. Follow the last amount of feeding with 30 mL of water Follow the feeding with 60 mL of sterile normal saline. 0 Position the client upright for 30 minutes after the feeding. Question 7 0.5 pts After inserting a nasogastric tube, the client is not coughing despite the nurse not being...
History: Mr. Dan Griffith is a 65 year old male who presented to the emergency department with shortness of breath and chest tightness of recent onset. He has a 7 year history of COPD and is on oxygen at home. Physical assessment reveals a respiratory rate of 32 and slightly labored, temperature of 98.9, and SpO2 of 86% while on oxygen via nasal cannula at 2 L/min. Question: Mr. Griffith is admitted to the pulmonary unit with acute exacerbation of...
s that there is short of breath which of the following Anurse is caring for a dient who has COPO. The nurse actions should then take it? 0 Assess percentage of oxygen saturation Measure vital signs Encourage coughing before activities Administer neu ser treatments as prescribed O Anurse is caring for a dient who is experiencing ventur the nurse i on Won of the towing is the priority action by Initiate chest compressions Defibrillate the client a 200 puies. Ventilate...
s that there is short of breath which of the following Anurse is caring for a dient who has COPO. The nurse actions should then take it? 0 Assess percentage of oxygen saturation Measure vital signs Encourage coughing before activities Administer neu ser treatments as prescribed O Anurse is caring for a dient who is experiencing ventur the nurse i on Won of the towing is the priority action by Initiate chest compressions Defibrillate the client a 200 puies. Ventilate...
Please and give rationale 1. A nurse is completing a discharge teaching to a client following a sigmoid colostomy. Which of the following statements by the clint indicated a need for further teaching? a. my stoma should shrink in 3-4 weeks b. my bowel pattern should be regulated in 4 to 6 weeks c. I will measure my stoma weekly d. I will cut the appliance opening 1/8 to 1/16th inch larger to fir the stoma site? 2. A nurse...
Which medication should a nurse have available when caring for a patient who is receiving a high dose of morphine sulfate'? Naloxone hydrochloride • Activated charcoal • Atropine sulfate • Epinephrine hydrochloride A nurse should explain to a patient diagnosed with cirrhosis that the purpose of administering spironolactone to the patient to: • Reduce intestinal bacteria • Decrease serum potassium • Promote diuresis • Increase circulating blood volume A patient is to receive atropine sulfate and meperidine hydrochloride preoperatively. What...