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Answer updated on: 12 Feb 2020
Using a high-flow Venturi mask to deliver oxygen as prescribedThe client with COPD retains carbon dioxide, which inhibits stimulation of breathing by the medullary center in the brain. As a result, low oxygen levels in the blood stimulate respiration, and administering unspecified, unmonitored amounts of oxygen may depress ventilation. To promote adequate gas exchange, the nurse should use a ...
Answer updated on: 12 Feb 2020
The quietest room on the floor.A loud noise such as a crying baby, or a dropped tray of equipment may be sufficient to trigger a seizure initiating eclampsia, a woman with severe preeclampsia should be admiotted to a private room so she can rest as undisturbed as possible. Darken the room if possible because bright light can trigger seizures.
Answer updated on: 12 Feb 2020
Check the bowel soundsA body cast or spica cast extends from the upper abdomen to the knees or below. Bowel sounds should be checked to ensure that the client is not experiencing a paralytic illeus. Checking the blood pressure is a treatment for any client, offering pain medication is not called for, and checking for swelling isnt specific to the stem, so answers B, C, and D are incorrect.
Answer updated on: 12 Feb 2020
Answer updated on: 12 Feb 2020
A client with active tuberculosis is asked to wear a mask when he leaves his room to go to another department for testing.There is no need to wear gloves when feeding a client. However, universal precautions (treating all blood and body fluids as if they are infectious) should be observed in all situations. A client with active tuberculosis should be on respiratory precautions. Having the ...
Answer updated on: 12 Feb 2020
The mother is describing her child’s separation anxiety.Before coming to any conclusion, the nurse should ask the mother focused questions; however, based on initial information, the analysis of separation anxiety would be most valid. Separation anxiety is a normal toddler response. When the child senses he is being sent away from those who most provide him with love and security. Crying is ...
Answer updated on: 12 Feb 2020
Heart rate and rhythmThe airway is not at any particular risk with this injury. Electric current travels through the body from the entrance site to the exit site and can seriously damage all tissues between the two sites. Early cardiac damage from electrical injury includes irregular heart rate, rhythm, and ECG changes.
DIF: Cognitive Level: Application or higher
TOP: Nursing Process Step: ...
Answer updated on: 12 Feb 2020
Determine client’s needYou can never provide nursing care if you dont know what are the needs of the client. How can you provide an effective postural drainage if you do not know where is the bulk of the clients secretion. Therefore, the best description of a care provider is the accurate and prompt determination of the clients need to be able to render an appropriate nursing care.
Answer updated on: 12 Feb 2020
Most tablets designed for oral use, except for extended-duration compounds Capsules, enteric-coated tablets, and most extended duration or sustained release products should not be dissolved for use in a gastrostomy tube. They are pharmaceutically manufactured in these forms for valid reasons, and altering them destroys their purpose. The nurse should seek an alternate physicians order when an ...
Answer updated on: 12 Feb 2020
Dry oral mucous membranes and cracked lips Chemotherapy commonly causes nausea and vomiting, which may lead to fluid and electrolyte imbalances. Signs of fluid loss include dry oral mucous membranes, cracked lips, decreased urine output (less than 40 ml/hour), abnormally low blood pressure, and a serum potassium level below 3.5 mEq/L.
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