The registered nurse is evaluating a patient with pneumonia who reports chest pain during inspiration and cough. What evaluation data would be associated with this symptom?
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The registered nurse is evaluating a patient with pneumonia who reports chest pain during inspiration and cough. What evaluation data would be associated with this symptom?
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- A 50-year-old client who has retired to the country has been diagnosed with emphysema. The symptoms include mild chronic cough, wheezing, and fatigue. During assessment, the client denies smoking or any history of smoking. The client mentions eating a well-balanced diet and regularly exercising. The client likes outdoor activities but is fatigued most of the time recently. The client is worried about the diagnosis and asks the nurse why this has happened. What kind of data provided by the client requires further validation? Give reasons. How should the nurse validate the client’s information and findings?A 50-year-old client who has retired to the country has been diagnosed with emphysema. The symptoms include mild chronic cough, wheezing, and fatigue. During assessment, the client denies smoking or any history of smoking. The client mentions eating a well-balanced diet and regularly exercising. The client likes outdoor activities but is fatigued most of the time recently. The client is worried about the diagnosis and asks the nurse why this has happened. What kind of data provided by the client requires further validation? Give 2. How should the nurse validate the client’s information and findings?Scenario: Upon completing a medical history and physical assessment the nurse learns that the client has an eight-year history of chronic obstructive pulmonary disease (COPD) and continues to smoke ½ pack of cigarettes daily. The client is febrile (101.20 F) and reports experiencing periods of chilling. The client has a productive cough resulting in large amounts of purulent sputum and reports, "All this coughing and difficulty breathing makes my chest hurt." The client's spouse shares that the client hasn't been eating or drinking as well as usual and constipation has been a problem for the last 3 days. Both covid-19 infection and pneumonia are being ruled out as the possible diagnosis. The nurse will identify which assessment and/or history data as supporting a diagnosis of pneumonia? Select all that apply. Cough Anorexia Chest pain Constipation Fever and Chills Purulent sputum History of COPD
- Which of the following should be the basis of the nurse in considering that a problem is easily modifiable? A. Health paraphernalia of the nurse B. Exposure of high-risk member of the family C. Physical appearance of the head of the family D. Progress of the diseaseCategory: Management of Care During the endorsement, which of the following clients should the on-duty nurse assess first? A. The 58-year-old client who was admitted 2 days ago with heart failure, blood pressure of 126/76 mm Hg, and a respiratory rate of 22 breaths/minute. B. The 89-year-old client with end-stage right-sided heart failure, blood pressure of 78/50 mm Hg, and a "do not resuscitate" order. C. The 62-year-old client who was admitted 1 day ago with thrombophlebitis and is receiving L.V. heparin. D. The 75-year-old client who was admitted 1 hour ago with new-onset atrial fibrillation and is receiving L.V. diltiazem (Cardizem).Please explain to the understanding of the NSQHS Recognising and Responding to Acute Deterioration Standard. Please provide a detailed example from nursing clinical placement of your application of this standard to your practice (please presente example using the STAR format).
- In completing a focused assessment of a client who has completed treatment for Herpes zoster (shingles), what assessment data is most important for the practical nurse to obtain? A Pain scale. B Capillary refill. C Joint mobility. D Urine color.The nurse is reinforcing teaching to a patient with Raynaud disease. Which measure should the nurse include to prevent an attackThe nurse is receiving an older adult client from the PACU. Part of the report had been passed on from the preoperative assessment where it was noted that the client has been agitated in the past following opioid administration. What principle should guide the nurse's management of the client's pain? a. The elderly may require lower doses of medication and are easily confused with new medications. b. The elderly may have altered absorption and metabolism, which prohibits the use of opioids. c. The elderly may be confused following surgery, which is an age-related phenomenon unrelated to the medication. d. The elderly may require a higher initial dose of pain medication followed by a tapered dose.