You are a nurse admitting a patient to the hospital from the emergency department (ED) withshortness of breath and recent weight loss. After receiving a report from the ED nurse, you readythe patient's room according to unit specifications and collect the necessary equipment andforms. When the patient arrives, she is using oxygen via a nasal cannula and seems to becomfortable. As you begin your admission activities and paperwork, you note that her shortnessof breath slightly increases as she answers your questions. Accompanying the patient is herdaughter, who comments, "This is the fourth time she's been admitted to this hospital in thepast year." The patient and her daughter demonstrate a close, loving relationship. The daughternot only encourages her mother, but also sets boundaries regarding her mother's anxiety.a. How would you evaluate the patient's achievement of cognitive, affective, and physiologicoutcomes?b. Describe factors that could derail the attainment of expected patient outcomes.c. List common care plan problems encountered during evaluation and how you might respond.

In this case, a nurse admits a patient from the emergency department (ED) to the hospital with…

Answered: You are a nurse admitting a patient to…

Basic Clinical Lab Competencies for Respiratory Care: An Integrated Approach

5th Edition

ISBN:9781285244662

Author:White

Publisher:White

Chapter28: Weaning And Discontinuation Of Mechanical Ventilation

Section: Chapter Questions

Problem 4SEPT

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A nurse is caring for a 73-year-old male patient who is hos-pitalized with pneumonia and is experiencing some difficulty breathing. The nurse most appropriately assists him intowhich position to promote maximal breathing in the thoraciccavity?a. Dorsal recumbent positionb. Lateral positionc. Fowler’s positiond. Sims’ position
To evaluate the effectiveness of mechanical ventilation for a patient with respiratory failure, which diagnostic will be most useful to the nurse? 1. A chest x-ray 2. Oxygen saturation 3. Arterial blood gas analysis 4. Central venous pressure
Mrs Smith has recovered from her injury and her pneumothorax has resolved. The doctor has ordered the removal of her UWSD After the chest drain is removed and post-surgery list three main ways the nurse can assist the client to improve respiratory function.
If you must give the two inhalers together, how will you teach the patient to do it? Include the sequence, patient teaching and possible adverse effects.
During a teaching session for a patient who will be receiving a new prescription for the LTRA montelukast (Singulair), the nurse will tell the patient that the drug has which therapeutic effect?a) Improves the respiratory driveb) Loosens and removes thickened secretionsc) Reduces inflammation in the airwayd) Stimulates immediate bronchodilation
You are called to the recovery room to administer 40% oxygen to a patient with a laryngeal airway in place. a) Describe the equipment setup you would employ, including all connectors and adapters needed. b) After insertion of the pharyngeal airway, what should you monitor? c) the patient has regained consciousness and the laryngeal airway has been removed. What should you do with the device at this time?
An emergency department nurse is using a manual resuscita-tion bag (Ambu bag) to assist ventilation in a patient with lung cancer who has stopped breathing on his own. What isan appropriate step in this procedure?a. Tilt the patient’s head forward.b. Hold the mask tightly over the patient’s nose andmouth.c. Pull the patient’s jaw backward.d. Compress the bag twice the normal respiratory rate for thepatient.
A nurse is inserting an oropharyngeal airway for a patientwho vomits when it is inserted. Which action would bethe first that should be taken by the nurse related to thisoccurrence?a. Quickly position the patient on his or her side.b. Put on disposable gloves and remove the oral airway.c. Check that the airway is the appropriate size for thepatient.d. Put on sterile gloves and suction the airway.
A nurse is caring for a 16-year-old male patient who has beenhospitalized for an acute asthma exacerbation. Which testingmethods might the nurse use to measure the patient’s oxygensaturation? Select all that apply.a. Thoracentesisb. Spirometryc. Pulse oximetryd. Peak expiratory flow ratee. Diffusion capacityf. Maximal respiratory pressure
A nurse auscultates the thorax and lungs and hears coarse,low-pitched, continuous sounds on expiration. When thepatient coughs, the sounds clear up somewhat. The nursewould document these sounds as:a. Adventitious breath soundsb. Bronchovesicular breath soundsc. Vesicular breath soundsd. Bronchial sounds
The nurse is assessing a newly intubated patient and detects normal breath sounds on the right side of the patient's chest and diminished, distant breath sounds on the left side of the chest. What likely cause for these clinical signs should the nurse suspect?A. inadequate mechanical ventilationB. Intubation in the right mainstream bronchusC. Left hemothoraxD. Right hemothorax
During a teaching session for a patient who is receiving inhaled salmeterol, the nurse emphasizes that the drug is indicated for which condition?a) Rescue treatment of acute bronchospasmsb) Prevention of bronchospasmsc) Reduction of airway inflammationd) Long-term treatment of sinus congestion

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