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- Nursing Design presentation for your facility on how to resolve workplace difficulties. needed asapCategory: Physiological Adaptation The nurse is attending to a 35-year-old patient presenting to the emergency department with difficulty breathing, audible inspiratory and expiratory wheezes, and a significant reduction in peak expiratory flow rate. The patient has a known history of asthma and is currently experiencing an exacerbation. Which of the following medication classes should the nurse anticipate administering first to address the patient’s immediate needs? A. Beta-adrenergic blockers B. Bronchodilators C. Inhaled steroids D. Oral steroids E. AnticholinergicsDiscuss how the Registered Nurse uses clinical judgement to set priorities when caring for a hypoglycemic patient.
- The nurse is receiving an older adult client from the PACU. Part of the report had been passed on from the preoperative assessment where it was noted that the client has been agitated in the past following opioid administration. What principle should guide the nurse's management of the client's pain? a. The elderly may require lower doses of medication and are easily confused with new medications. b. The elderly may have altered absorption and metabolism, which prohibits the use of opioids. c. The elderly may be confused following surgery, which is an age-related phenomenon unrelated to the medication. d. The elderly may require a higher initial dose of pain medication followed by a tapered dose.In scoring the list of health problems to prioritize, the nurse should do all of the following, except: A. Understand the basis for rating each criterion B. Ensure that the 4 criteria are complete C. Consider to multiply the highest score of each criterion with the given weight. D. Decide on a scorea nurse is preparing to measure a clients vital signs. The nurse should identify that which of the following factors will affect the methods that are used
- 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 writtenA post-op client is receiving morphine sulfate (Duramorph®) for pain. Upon assessment, the nurse notes that the client's respiratory rate is very slow and that there is a slight bluish discoloration around the lips. The nurse immediately prepares to administer which of the following? O Flumazenil (Romazicon) naloxone (Narcan) Activated Charcoal acetylcysteineWhich of the following tasks can a nurse delegate to the following personnel? Tasks: Assess the patient's ability to drink clear liquids. Determine the amount eaten. Document the patient's tolerance of clear liquids. Assess the patient's tolerance for sitting at the side of the bed. Assess the patient's tolerance for ambulating. Document the patient's tolerance for activity. Assess the patient's pain level. Provide education about activity levels. Personell:
- The nurse is preparing a care plan for a patient who has been newly diagnosed with type 2 diabetes mellitus. Put into correct order the steps of the nursing process, with 1 being the first step and 5 being the last step. a )Implementation b )Planning c )Assessment d) Evaluation e) Nursing diagnosesScenario: Upon completing a medical history and physical assessment the nurse learns that the client has an eight-year history of chronic obstructive pulmonary disease (COPD) and continues to smoke ½ pack of cigarettes daily. The client is febrile (101.20 F) and reports experiencing periods of chilling. The client has a productive cough resulting in large amounts of purulent sputum and reports, "All this coughing and difficulty breathing makes my chest hurt." The client's spouse shares that the client hasn't been eating or drinking as well as usual and constipation has been a problem for the last 3 days. Both covid-19 infection and pneumonia are being ruled out as the possible diagnosis. The nurse will identify which assessment and/or history data as supporting a diagnosis of pneumonia? Select all that apply. Cough Anorexia Chest pain Constipation Fever and Chills Purulent sputum History of COPDScenario: 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.