21, Assess the percentage of o2 saturation
When the patient experiences shortness of breath, as a first action
check o2 saturation to achieve 90% or higher. If it is less o2
therapy should be recommended. Administer prescribed inhaled drugs
and nebulizer to reduce the shortness of breath and teach coping
suggestions like breathing and coughing techniques to reduce the
adverse effect.
22, Administer vasopressin 40units IV
Ventricular fibrillation patients should be treated immediately
with vasopressin to replace the normal rhythm and the next action
with a defibrillator can be used to deliver electrical shock and
CPR to maintain blood pumping in the heart.
23, weight decrease of 4Lb in the last 24 hours
Diuretics provide the desired outcome by reducing weight when
wastewater and salt removed by the body and there will be low blood
pressure and respiratory rate and it treat respiratory
distress.
24, Right lateral
After liver biopsy patient should be placed on the right side to
prevent bleeding on the biopsy site. when patients lying on the
left side there will be less pressure on the puncture
site.
s that there is short of breath which of the following Anurse is caring for a dient who has COPO. The nurse actions...
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...
1. A nurse is providing teaching to an adolescent client who has been prescribed isotretinion (accutane). The nurse should inform the client that which of the following medications are contraindicated while taking accutane? a. metronidazole (flagyl) b. prednisolone (prednisone) c. omeprazole (prilosec) d. spironolactone (aldactone) 2. A nurse is preparing to administer chemotherapy to a client who has colon cancer. The client has the following laboratory results: WBC 700/mm3, RBC 2.8 million/mm3, Hgb 7.9 g/dLWhich of the following actions should...
a nurse is caring for a client who has a right-sided pneumothorax. Following chest tube insertion, which of the following findings indicates that the chest drainage system is functioning correctly. Gentle bubbling in the suction chamber crepitus around the insertion site. Constant bubbling in the water seal chamber. Absence of breath sounds on the right side.
A nurse is caring for a dient who underwent a below-the-knee amputation 2 days ago. The nurse should explain to the dient that the purpose of maintaining an elastic bandage around the residual limb of the extremity is to O o keep the dient from Viewing the exposed surgical site prevent postoperative wound infection keep the sutures from loosening prevent excessive edema A nurse is caring for a dient who is taking digoxin (Lanoxin) and furosemide (Lasix). The dient has...
27. A nurse is caring for a client who has acute heart failure and is receiving furosemide via IV bolus. The nurse should identify that which of the following findings indicates a desired therapeutic effect? Increased sputum production Decreased weight Decreased blood glucose level Increased blood pressure 54. A nurse is assessing a client who receives monthly injections of cyanocobalamin. Which of the following findings indicates a therapeutic effect of the medication? Absence of hand tremors Hematocrit 45% Potassium 3.8...
A nurse is caring for a client who has diarrhea and is receiving intermittent enteral feedings. Which of the following actions should the nurse take? Discard the open can of formula after 36 hr. Administer feeding at a slower rate. Flush the tube with 10 mL of water after feedings. Provide chilled formula. A nurse is caring for a client who is postoperative and has a new prescription for hydromorphone. Which of the following actions should the nurse take? Withhold...
A nurse is caring for a dlient who has Cushing's oisease. The nurse should monitor for which of the following? oWeight loss o Hyponatremia O Hypercaicemia O Myperglycemia A nurse is observing a dient who has left-sicee weakness and is using a quad cane to ambuiate. Which of the folilowing should indicate to the nurse the need for further teaching? (Select all that apply.) OThe cane measures to the level of the left hip. OThe cane is held on the...
1. A nurse is caring for a client who is intubated and receiving mechanical ventilation. Which of the following findings should indicate to the nurse that the client's airway requires suctioning? a. Pulse ox saturation of 94% b. Rhonchi noted upon auscultation c. decreased peak airway inspiratory pressure d. low pressure alarm sounding on the ventilator 2. The nurse is teaching a client about PICC line. Which of the following statements by the nurse is correct? a. The procedure will...
ministering stat does of intravenous (1) antibiotics QUESTION 34 A nurse is caring for HIV client who has been scheduled for surgery. Which of the following are Indirect nursing care Interventions? A Documenting accurately the client's intake or output (180) B. Instructing the client about NPO a day or two before surgery Cinserting a large-bore needle before sending the client to the OR D. Medicating the dient with a prescribed sedative prior to surgery QUESTION 35 Anurse is preparing a...
A home health nurse is assessing a client who has amyotrophic lateral sclerosis (ALS) and has had recent weight loss. Which of the following is the priority admission date for the nurse to obtain? Changes in appetite Prescribed medications Swallowing ability Daily fluid intake A nurse is caring for a client who has a new prescription for piperacillin/tazobactam 3.75 g intermittent IV bolus Q6H to infuse over 30 min. Available is piperacillin/tazobactam 3.75 g in 50 mL 0.9% sodium chloride....