4. A client is prescribed and receiving hydromorphone. Upon assessment the client's respiratory rate is 11 breaths per minutes. What is the most appropriate next action by the nurse? A. Administer the hydromorphone as scheduled B. Apply oxygen before hydromorphone administration C. Hold the hydromorphone and contact the prescriber D. Discontinue the hydromorphone

4. A client is prescribed and receiving hydromorphone. Upon assessment the client's respiratory rate is 11 breaths per minutes. What is the most appropriate next action by the nurse? A. Administer the hydromorphone as scheduled B. Apply oxygen before hydromorphone administration C. Hold the hydromorphone and contact the prescriber D. Discontinue the hydromorphone

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter11: Documentation And Goals Assessment

Section: Chapter Questions

Problem 9SEPT

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3. A client is prescribed and receiving hydromorphone. Upon assessment the client's respiratory rate is 11 breaths per minutes. What is the most appropriate next action by the nurse? A. Administer the hydromorphone as scheduled B. Apply oxygen before hydromorphone administration C. Hold the hydromorphone and contact the prescriber D. Discontinue the hydromorphone
A nurse providing care of a patient’s chest drainage systemobserves that the chest tube has become separated from thedrainage device. What would be the first action that shouldbe taken by the nurse in this situation?a. Notify the physician.b. Apply an occlusive dressing on the site.c. Assess the patient for signs of respiratory distress.d. Put on gloves and insert the chest tube in a bottle of sterilesaline.
A 79-year-old client is admitted with pneumonia. Which nursing diagnosis should take priority? a.Anxiety related to dyspnea and chest pain b. Ineffective airway clearance related to retained secretions c. Risk for imbalanced fluid volume related to increased insensible fluid losses secondary to fever d. Acute pain related to lung expansion secondary to lung infection
A patient with chronic obstructive pulmonary disease (COPD) is experiencing an acute exacerbation. Which medication should the nurse anticipate administering? a) Bronchodilators b) Diuretics c) Angiotensin-converting enzyme inhibitors d) Calcium channel blockers
You are assisting the care of a pcardiac arrest patient. Your partner is BVM. You can see there is no chest rise in ventilations. Which of the following should you chose next to improve the situation? A) Attatch oxygen flow to the BVM B) Evaluate the patient for Pnemothorax C) Evaluate the patient for airway obstruction D) Assist partner to maintain a seal on the BVM