The nurse is evaluating the effectiveness of therapy for a client who has received treatment during an asthma attack. Which of the following findings is the best indicator that the therapy has been effective? Question 86 options:
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Question 86
The nurse is evaluating the effectiveness of therapy for a client who has received treatment during an asthma attack. Which of the following findings is the best indicator that the therapy has been effective?
Question 86 options:
No wheezes are audible
Oxygen saturation is >92%
Accessory muscle use has decreased
Respiratory rate is 16 breaths / minute
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- Question 43 The nurse is caring for a client with COPD who is receiving oxygen. Which of the following is the best action for the nurse to determine the appropriate oxygen flow rate? Question 43 options: Minimize oxygen use to avoid oxygen dependency Administer oxygen according to the client’s level of dyspnea Maintain the pulse oximetry at 90% or greater Avoid administration of oxygen at a rate of more than 2L/minuteQuestion 6 A nurse walks into a room and notices a client in acute respiratory distress. You would expect the nurse to do all of the following EXCEPT: Question 6 options: Check the client's vital signs Leave the client to ask for help Coach the client through deep breathing techniques Place the client on oxygen to maintain an SP02 > 89%Question 54 A 5-month-old infant was admitted to the pediatric unit with bronchiolitis. They are currently being monitored and receiving supportive care, including supplemental oxygen. Which of the following should be included in the nurse's assessment and documentation? Select all that apply. Question 54 options: Hydration status Oxygen saturation Respiratory rate and work of breathing Findings on auscultation Feeding status
- Question 2 Oxygenation - Patient 2 Patient Data History and Physical Nurses' Notes Imaging Studies ↑ 0800 The 77-year-old male client has a productive cough with thick, green secretions. Heart sounds are muffled. Breath sounds are diminished bilaterally with inspiratory and expiratory wheezes noted. The client denies pain, rating his pain a 0 on a 0-to-10 pain scale. He reports dyspnea (difficulty breathing). His chest is barrel shaped. The client ate only 25% of his breakfast today. Vital signs: temperature 98.4° F (36.9° C), pulse 96 beats/minute and regular, respirations 24 breaths/minute and labored, BP 140/74 mmHg, oxygen saturation 90% at rest on 2 L of oxygen via nasal cannula. The nurse reviews assessment data and health history from the medical record. Which finding indicates this client is experiencing impaired oxygenation? Select all that apply. Productive cough Muffled heart sounds Diminished breath sounds Wheezing Dyspnea Barrel-shaped chest Oxygen saturation of 90%…Question 76 Which assessment is of highest priority for the nurse to complete before administration of morphine? Question 76 options: Pain rating Blood pressure Respiratory rate Level of consciousnessQuestion 9 The nurse is caring for a 16 year old male client who attempted suicide, upon entering the room the nurse notices the client is tearful and silent. What is the nurse's best initial response? Question 9 options: Sit quietly beside the client and wait for the client to start speaking. Say, “I see you are tearful. Tell me about what is going on in your life, and we see how we can help you." Say, “You are crying. That means you feel badly about attempting suicide, so many people are worried about you" Observe the behavior, record it, and notify the health care provider.
- Question 55 Which of the following is NOT included in the care plan of a patient with COPD according to the RNAO's Best Practice Guideline: Nursing Care of Dyspnea? Question 55 options: Limit eating to 3 larger meals a day Lateral-costal breathing Use of fresh air or a fan as a relaxation technique Pacing as a conservative strategyQuestion 88 Which of the following actions by a client who has asthma indicates a good understanding of the nurse’s teaching about the asthma action plan? Question 88 options: The client adjusts their medications appropriately when they are in the ‘yellow zone’ The client calls the health care provider when Peak Flow readings are less than 90% The client calls the health care provider to confirm and document any potential triggers The client calls the health care provider when they are in the ‘green zone’Discussion 4 After completing the assigned readings and activities, please choose to answer question A or B. You do not have to answer both, unless you choose to do so. In this discussion area, please respond to at least 1 peer that posted the option A or B that is opposite to the one you chose for your initial post. Question A: 1. Suggest an improvement project for your practice or healthcare organization that would improve patient safety or quality. What information would you like to have about your practice area that could be extracted using data mining strategies? 2. Briefly explain how you would design an improvement project that would utilize the data mined to improve a process or a patient outcome. 3. Before implementing the intervention(s) you've described in your improvement project, explain the importance of consulting with clinical experts. 4. Do you feel that it is ethical to mine data for improvement projects? Explain why or why not.
- A Moving to another question will save this response. Question 44 "During the immediate post-operative period, the frequency of assessing vital signs (V/S) for Ms. S would be, Q15 mins until V/S are stable Q2H for first six hours Q4H until V/S are stable Q6H for first 12 hours Moving to another question will save this response.Question 17 Karen (65 years old) comes to the emergency department as she is experiencing an acute asthma attack. After obtaining her baseline oximetry value, what should the nurse do next? Select the correct action from the list below: Question 17 options: Complete a thorough health history Ask about inhaled corticosteroid use Obtain her Forced Expiratory (FEV1) flow rate Start an intravenous (IV) of Ringers LactateQuestion 1: Write a 1-2 page analysis stating your decision regarding whether the nurse was liable for the death of the patient in the scenario below. IT’S YOUR GAVEL… CHANCE OF SURVIVAL DIMINISHED On the afternoon of May 20, the patient, Mr. Ard, began feeling nauseated. He was in pain and had shortness of breath. Although his wife rang the call bell several times, it was not until sometime later that evening that someone responded and gave Ard medication for the nausea. The nausea continued to worsen. Mrs. Ard then noticed that her husband was having difficulty breathing. He was reeling from side to side in bed. Believing that her husband was dying, she continued to call for help. She estimated that she rang the call bell for 1.25 hours before anyone responded. A code was eventually called. Unfortunately, Mr. Ard did not survive the code. There was no documentation in the medical records for May 20, between 5:30 PM and 6:45 PM, that would indicate that any nurse or physician…