A nurse walks into a room and notices a client in acute respiratory distress. You would expect the nurse to do all of the following EXCEPT: Question 6 options: Check the client's vital signs Leave the client to ask for help Coach the client through deep breathing techniques Place the client on oxygen to maintain an SP02 > 89%
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Question 6
A nurse walks into a room and notices a client in acute respiratory distress. You would expect the nurse to do all of the following EXCEPT:
Question 6 options:
Check the client's vital signs
Leave the client to ask for help
Coach the client through deep breathing techniques
Place the client on oxygen to maintain an SP02 > 89%
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- Question 2 Oxygenation - Patient 2 Patient Data History and Physical Nurses' Notes Imaging Studies ↑ 0800 The 77-year-old male client has a productive cough with thick, green secretions. Heart sounds are muffled. Breath sounds are diminished bilaterally with inspiratory and expiratory wheezes noted. The client denies pain, rating his pain a 0 on a 0-to-10 pain scale. He reports dyspnea (difficulty breathing). His chest is barrel shaped. The client ate only 25% of his breakfast today. Vital signs: temperature 98.4° F (36.9° C), pulse 96 beats/minute and regular, respirations 24 breaths/minute and labored, BP 140/74 mmHg, oxygen saturation 90% at rest on 2 L of oxygen via nasal cannula. The nurse reviews assessment data and health history from the medical record. Which finding indicates this client is experiencing impaired oxygenation? Select all that apply. Productive cough Muffled heart sounds Diminished breath sounds Wheezing Dyspnea Barrel-shaped chest Oxygen saturation of 90%…A Moving to another question will save this response. Question 54 The clinical sign that the Nurse would observe for detecting post-operative pulmonary embolism in Ms. S is. decrease in heart rate pain at the incision site elevated temperature shortness of breath to another question will save this response. OOOA relative standing in the waiting room suddenly falls on the floor. List the order for the actions that the duty nurse must perform. 1. Call for help and activate the code team. 2. Start compressions 3. Give breaths 4. Establish unresponsiveness.
- Question 86 The nurse is evaluating the effectiveness of therapy for a client who has received treatment during an asthma attack. Which of the following findings is the best indicator that the therapy has been effective? Question 86 options: No wheezes are audible Oxygen saturation is >92% Accessory muscle use has decreased Respiratory rate is 16 breaths / minuteQuestion 76 Which assessment is of highest priority for the nurse to complete before administration of morphine? Question 76 options: Pain rating Blood pressure Respiratory rate Level of consciousnessQuestion 89 The nurse is assessing a client with asthma who has recorded daily peak flows that are 85% of their baseline. Which of the following actions should the nurse take? Question 89 options: Administer a bronchodilator and recheck the peak flow Instruct the client to continue to use their current medications Evaluate whether the peak flow meter is being used correctly Teach the client how to use oral corticosteroids
- The nurse is administering an intra-enous dose of morphine sulfate to a 48-year-old postoperative patient. The dose ordered is 3 mg e-ery 3 hours as needed for pain. The medication is supplied in -ials of 4 mg/mL. How much will be drawn into the syringe for this dose?What action does the nurse perform to follow safe techniquewhen using a portable oxygen cylinder?a. Checking the amount of oxygen in the cylinder beforeusing itb. Using a cylinder for a patient transfer that indicatesavailable oxygen is 500 psic. Placing the oxygen cylinder on the stretcher next to thepatientd. Discontinuing oxygen flow by turning cylinder keycounterclockwise until tightQuestion 43 The nurse is caring for a client with COPD who is receiving oxygen. Which of the following is the best action for the nurse to determine the appropriate oxygen flow rate? Question 43 options: Minimize oxygen use to avoid oxygen dependency Administer oxygen according to the client’s level of dyspnea Maintain the pulse oximetry at 90% or greater Avoid administration of oxygen at a rate of more than 2L/minute
- A Moving to another question will save this response. Question 44 "During the immediate post-operative period, the frequency of assessing vital signs (V/S) for Ms. S would be, Q15 mins until V/S are stable Q2H for first six hours Q4H until V/S are stable Q6H for first 12 hours Moving to another question will save this response.Question 32 The nurse palpated the tactile fremitus and detected abnormalities. The nurse suspects accumulation of fluid in the lungs. What should be the tone of the patient to confirm the suspicion? Low tone Loud tone Normal tone Whispered tone Confident Not Sure amazon 3888 2:Case A comatose patient had formerly expressed a desire to have her respirator turned off if she ever required one. Her parents do not want to turn it off, but her husband does. The parents present their arguments to the administrator, chief of the medical staff, and director of nursing. Answer the following questions in a 2-3 page response: What are the legal facts of the case? What is the ethical dilemma? What standard of care is required? What are the risks to the healthcare organization if turning off the respirator? If not turning off the respirator? What options does the healthcare organization have to resolve this dilemma? What precautions should healthcare organizations take to prevent this type of ethical dilemma in the future?