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- 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.What are Nursing interventions for an asthmatic patient hospitalized on a med/surg unit?While inflating the balloon of a pulmonary artery catheter (PAC) with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP), the nurse encounters resistance. What is the best nursing action ? a) add an additional 0.5 mL of air to the balloon and repeat the procedure. b) Advance the catheter with the balloon deflated and repeat the procedure. c) Deflate the balloon and obtain a chest x-ray study to determine line placement. d) Lock the balloon in the inflated position and flush the distal port of the PAC with normal saline asap
- What 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 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."A patient with a history of COPD presents with increased shortness of breath and a productive cough. What are the immediate nursing actions and considerations for ongoing care?"
- Which 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 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…Why are vital signs such a critical component to the office visit? Explain why they need to be done at each visit.
- Discuss the nursing interventions for a patient with Meniere's disease.How does a nurse manage a patient with an acute asthma attack?An elderly patient, only partially responsive on admission, has family present most of the time. Family members continue to ask questions of the healthcare providers, insisting on knowing the patient's condition and his future options. What are the responsibilities of healthcare providers to the family members? Do the family members have a right to know their relative's exact condition? Does HIPAA apply in this situation?