A Nursing question:1 Anurse is assessing a 77-year-old postoperative client using a morphine sulfate PCA pump for pain control. The assessment data reveal a respiratory rate of8 bpm and irregular. The client is lethargic and confused. The nurse is updating the client's care plan and selects which nursing diagnosis as top priority?1. Risk for Injury related to regulatory function2. Impaired Gas Exchange related to inadequate ventilation3. Ineffective Airway Clearance related to viscosity of secretions4. Rest and Sleep Disturbance related to ineffective breathing patternNEED DETAIL EXPLANATION AS U CAN BUT IF U COPIED FROM INTERNET OR CHEGG SURELY GIVESU DOWNVOTE

According to question As per the scenario or scene patient is on morphine in it postoperatively and…

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3-2-1 Code It

6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter6: Icd-10-cm Outpatient And Physician Office Coding

Section: Chapter Questions

Problem 16MC

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INSTRUCTIONS: Formulate a NURSING CARE PLAN based on a given scenario below. A 58-year-old male patient came to the ER with the following chief complaints: “I can only walk about 50 steps before I become short of breath”. “I use 2 pillows at night to help me breathe.” Absent cough. Diminished breath sounds in bilateral lower lobes. BP 140/70 mmhg, RR 24 cpm, Temp. 98F 02 saturation 92%. Patient is a known chronic smoker with history of Chronic Obstructive Pulmonary Disorder. Patient was admitted and was hooked to oxygen support at 2 liters per minute via nasal cannula. He was also instructed to use Incentive Spirometer, 10 times every hour during waking hours only.
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?
The nurse is assessing the respirations ola client with chronic obstructivepulmonary disease (COPD). What is therationale for the nurse to assess therespiratory rate without the client beingaware of it? It is more efficient for the nurse todo so because it takes less time Client awareness might alter therespiratory rate or pattern The client might suppressKussmaul's respirations if awarethe respirations are being counted It allows for observation forrespiratory distress, tachypnea, ororthopnea
What are nursing goals for a patient with impaired gas exchange due to lung cancer. the goals must be measurable, realistic, have a time frame, client focused, and related to the diagnosis that was written
Heree Instruction:- Formulate nursing care plan A 58-year-old male patient came to the ER with the following chief complaints: “I can only walk about 50 steps before I become short of breath”. “I use 2 pillows at night to help me breathe.” Absent cough. Diminished breath sounds in bilateral lower lobes. BP 140/70 mmhg, RR 24 cpm, Temp. 98F 02 saturation 92%. Patient is a known chronic smoker with history of Chronic Obstructive Pulmonary Disorder. Patient was admitted and was hooked to oxygen support at 2 liters per minute via nasal cannula. He was also instructed to use Incentive Spirometer, 10 times every hour during waking hours only...?
Scenario: Although no definitive diagnosis has been made, the client is prescribed antibiotics, hydration, aggressive pulmonary hygiene, and supplemental oxygen therapy. What measures will the nurse plan to add to the client's plan of care to address the need for aggressive pulmonary hygiene? Select all that apply. Offer oral fluids with each client-nurse interaction. Encourage deep breathing when in a sitting or semisitting position. Assist with repositioning every 2-3 hours. Teach and evaluate client's understanding of diaphragmatic breathing with pursed lips. Facilitate consult with physical therapy department for purpose of percussion therapy. Encourage ambulation 4 times daily. Teach and evaluate client's understanding and ability to perform controlled coughing.
The nurse is providing care to a client admitted for acute shortness of breath. Which assessment findings indicate the need for an immediate intervention by the nurse? Is it retractions and fatigue, or shallow respirations at a rate of 24? Which one is more detrimental.
A nurse is assessing the vital signs of patients who presentedat the emergency department. Based on the knowledge ofage-related variations in normal vital signs, which patientswould the nurse document as having a normal vital sign?Select all that apply.a. A 4-month old infant whose temperature is 38.1°C(100.5°F)b. A 3-year old whose blood pressure is 118/80c. A 9-year old whose temperature is 39°C (102.2°F)d. An adolescent whose pulse rate is 70 bpme. An adult whose respiratory rate is 20 bpmf. A 72-year old whose pulse rate is 42 bpm
Chief complaint of the patient difficulty of breathing and cough. In NCP what would be the assessment(Subjective and Objective data of the patient? Nursing diagnosis? Nursing Analysis? Intervention ( dependent and independent ) Planning (short term goals& long term goals)? Rationale of the patient? and Evaluation?
Concept Map which consists of: 1 nursing diagnosis 1 Goal 3 Nursing interventions with rationale evaluation Completed medication cards Mr. S.B. has been a smoker for 20 years. He has noticed increased shortness of breath (SOB) for the past week and is complaining of a productive cough with thick whitish phlegm. VSS 99.9F, 92HR, 32R, and 152/90. Pulse oximetry is 90% on room air. Medications: Prednisone 10mg orally dailyProventil MDI 180mcg. 2 puffs inhaled every 6 hours
What are nursing goals for a patient with impaired gas exchange, acute pain, and imbalanced nutrition due to lung cancer. the goals must be measurable, realistic, have a time frame, client focused, and related to the diagnosis that was written
A nurse is preparing to assess a client for whom a report has been given noting 6% dehydration. Which signs/symptoms would the nurse anticipate as being present? Select all that apply. a. increased respiratory rate b. hypotension c. headache d. extreme thirst e. sustained tachycardia

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