A client who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. In preparing the client for the procedure, which intervention has the highest priority? Allow client to gargle with warm salt water. Administer a sedative to alleviate anxiety. Instruct client to write down the questions. Deny client's request for a midnight snack.
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A client who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. In preparing the client for the procedure, which intervention has the highest priority?
- Allow client to gargle with warm salt water.
- Administer a sedative to alleviate anxiety.
- Instruct client to write down the questions.
- Deny client's request for a midnight snack.
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- A post-op client is receiving morphine sulfate (Duramorph®) for pain. Upon assessment, the nurse notes that the client's respiratory rate is very slow and that there is a slight bluish discoloration around the lips. The nurse immediately prepares to administer which of the following? O Flumazenil (Romazicon) naloxone (Narcan) Activated Charcoal acetylcysteineWhich of the following would the nurse expect to see in client experiencing hypoventilation? increased oxygenation in the alveoli increased carbon dioxide in the bloodstream decreased hemoglobin in the bloodstream decreased carbon dioxide in the alveoliWhat clinical manifestation would the nurse expect to find in a client who is experiencing anaphylaxis? Dilated bronchioles, constriction of peripheral blood vessels, decreased capillary permeability. Asthma, deep vein thrombosis, encephalopathy Narrowing of the bronchioles, dilation of the peripheral blood vessels, increased capillary permeability. Left-sided heart failure, pulmonary embolism, urinary tract infection.
- A client came to the emergency department with complaints of weakness, difficulty in breathing, productive cough, and pain in the chest. On interviewing the client, the nurse finds that the client is an industrial worker with expose to asbestos. His family health history shows two deaths due to lung cancer. Discuss critically what should the nurse emphasize during the physical examination of this client.A 55-year-old patient presents to the emergency department with acute shortness of breath, wheezing, and coughing. The patient has a history of chronic obstructive pulmonary disease (COPD) and reports not having used their prescribed inhaler as regularly as advised. Which of the following actions is the priority for the nurse to take?A) Instruct the patient to resume regular use of their inhaler as prescribed.B) Administer oxygen therapy and prepare to administer bronchodilators as prescribed.C) Educate the patient about the importance of quitting smoking immediately.D) Schedule the patient for a pulmonary function test (PFT) to reassess their COPD.A client scheduled for bronchoscopy in the morning is anxious and asks the nurse numerous questions about the procedure. In preparing the client for the procedure, which intervention has the HIGHEST priority? A. Allow the client to gargle with warm salt water. B. Administer a sedative to alleviate the anxiety. C. Instruct the client to write down the questions. D. Deny client's request for a midnight snack.
- What is the nursing care plan of the following scenario? Mr. Bryan L. was assessed and found to have the following signs and symptoms: awake, confused and agitated. He responds to your questions but sometimes he does not use appropriate terminology. He knows his name, but does not know he is in the hospital. He has productive cough, which he spits in the emesis basin. The sputum is thick and yellow, with streaks of blood. Mr. L. states, “I smoke 3 packs of cigarettes a day for many years and I’m going to keep on smoking!” Laboratory values reflect an elevated level of carbon dioxide in his blood. On minimal exertion, he is experiencing shortness of breath (dyspnea); respiratory rate is 29 breaths/min and uses his abdominal accessory muscles to breathe. Capillary refill is sluggish, greater than 3 seconds. Both of his hands and feet are pale and cold to touch. Assessment Diagnosis Goal/expected outcome Planning Intervention Rationale Evaluation Objective data: Subjective…Place the actions the nurse should complete in order, from first to last. Introduce yourself to the client. Elevate the head of the bed and administer oxygen 2 L per minute via nasal cannula. Assess airway, breathing, and circulation. Administer furosemide 40 mg intravenously as prescribed. Monitor urine output.Scenario: Emily Campbell is a 48 year old female, she came to the Emergency Department with chest pain and some shortness of breath. She was conscious and ambulatory, and was accompanied by her 19 year old daugter. Presenting complaint: "Nurse, I just don't feel quite right. I've had pain on my chest and I've been feeling breathless." Question(s): 1.) What type of health history should the nurse be taking for Ms. Campbell? Elaborate why. 2.) What three vital questions do you need to ask in order to explore Ms. Campbell's symptoms? Explain the significance of each. 3.) Which part of the history assesment tool should you give focus on with regards to Ms. Campbell's case? Give at least 3 and explain.
- The nurse makes a home visit. The family meets the nurse at the door reporting their father is "really anxious and is having problems breathing." The immediate intervention is to: Elevate the head of the bed to semi Fowler's position and provide supplemental oxygen via nasal cannula to improve gas exchange. Since the problem may be related to persuasion, take VS and administer anti-anxiety medications. Auscultate the lungs, since the patient may have pneumonia which is prohibiting adequate gas exchange. This may be an indication that this is the last stage of life and confusion may be causing the symptoms.Morphine is to be administered intravenously. Discuss the nursing care and observations the Enrolled Nurse needs to provide to the person receiving morphine. (easy and simple)Which intervention should the RN implement when providing care for a client with a newly placed cracheostomy tube? Keep the client's wrists restrained at all times. Administer warmed and humidified oxygen. Maintain the tracheostomy cuff pressure at 30 mmHg. Suction the tracheostomy using clean techniaue.