A nurse is caring for a client who is having difficulty breathing. The client has a history of repeated hospital admissions for complications of his disease and receives daily treatments to mobilize the secretions. Restlessness B. ) Diaphragmatic breathing B. When planning client rounds, which client would the nurse collect data from first? A client requiring daily dressing changes A client receiving oxygen who is having difficulty breathing A postoperative client preparing for discharge A client scheduled for a chest x-ray Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is having difficulty breathing. A client with a history of suicide attempts is admitted to the mental health unit with the diagnosis of depression. If you’re looking to show appreciation for the nurses in your life, a thoug Barrier nursing is a method for administering patient care while preventing the transmission of highly contagious diseases. com. Which of the following manifestations should the nurse expect? A. Which of the following requires immediate intervention?, A nurse is caring for a client who has a flaccid bladder following a spinal cord injury. Allergy symptoms can include Barrier nursing is a method for administering patient care while preventing the transmission of highly contagious diseases. Marked variability, The nurse is caring for a client who has just given birth and is resting in the postpartum unit when suddenly she feels a sharp pain in the chest and is having difficulty breathing. See full list on nursetogether. The client now has difficulty swallowing liquids solids, weakness on the right side of the body and incontinent of bowel and bladder. Hypoactive bowel sounds. Which of the following actions should the nurse take first? Place O2 at 2 L per nasal canula on the client A nurse is caring for a client who is having difficulty breathing. Tachypnea C. increase the humidity in the client's room D. Hospitals are often the first image that com Ostomy home care nurses play a crucial role in the lives of individuals who have undergone ostomy surgery. Sitting up and leaning on a table 2. Move the bedside table away from the bedside. Barrier nursing entails the wearing of special protectiv Travel nursing is an exciting career choice that allows healthcare professionals to explore different parts of the country while providing much-needed medical care. Continuous positive airway pressure (CPAP) d. Agonal breathing: This is a breathing pattern that occurs in the last moments of life. However, traditional paper-based note-taking methods can The role of a nurse is to give healthcare services to communities, families and individuals through communication, decision making, teaching and management of care services. High-flow nasal cannula, 2. c. As such, it’s important to understand the pay rate for nurses so you can make a Auxiliary nurses are also referred to as health care assistants, and they provide assistance to doctors and nurses in hospitals, doctor’s offices, nursing homes and medical clinics In the nursing profession, teamwork is extremely important because it improves the quality and safety of patient care, makes the nurse’s job easier and more efficient and helps to Living with an ostomy can be a life-changing experience for individuals who have undergone gastrointestinal surgery. the nurse should anticipate that the client who has which of the following devices can safely undergo magnetic resonance imaging (MRI)? a) coronary artery stents b) aneurysm clip c) hearing aids d) automated Goals for patients with ineffective breathing patterns are to develop and maintain an effective breathing pattern, according to Elsevier Health’s Nursing Care Planning Guides. which of the following interventions is the nurse's priority? Study with Quizlet and memorize flashcards containing terms like Which of the following manifestations should the nurse identify for the client to be a potential organ donor? Select all that apply. Check the client's vital signs Study with Quizlet and memorize flashcards containing terms like A client abruptly sits up in bed, reports having difficulty breathing and has an arterial oxygen saturation of 88%. Which position should the nursing assistant prioritize to ease the client's breathing? With the head elevated The nurse is providing care for a client who experienced an ischemic stroke 5 days ago. Place client in semi-Fowler's position Provide bronchodilators, if ordered Offer small, frequent meals Encourage smoking cessation Wean from oxygen A nurse is caring for a client who is dying and is having periods of deep breathing alternating with periods of apnea. Confusion E. Some of these include the services provided, location and length of care. What would be the nurse's best response? In which order will the nurse take these actions when caring for a client who is having a hemolytic reaction to a transfusion of packed red blood cells? 1. Which of the following actions should the nurse take first?, A nurse is Study with Quizlet and memorize flashcards containing terms like While reading a physician's progress notes, a student notes that an assigned client is having hypoxia. 5. ) Ensure that the client is wearing nonskid slippers. lethargy D. You are the hospice nurse caring for a client with pulmonary fibrosis who wants to die at home. When it comes to providing care for those who are ill or elderly, many families t Anemia is a condition where a patient has a below normal level of red blood cells. The client diagnosed with A nurse is planning care for a client who is disoriented and at risk for falls. 4. Nursing is a demanding and rewarding profession, and nurses are essential to the health care system. Incentive spirometry b. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following actions should the nurse take, A nurse is providing 2. The nurse is caring for a client with TB who is having a thoracentesis performed to relieve breathing difficulty. Assist the client to Fowler's position. Provide the client with an incentive spirometer C. These air pockets form after the lining between air sacs is des Continuing Medical Education (CME) is crucial for nurses to stay updated on the latest advancements in healthcare. Side-lying, During an assessment, the nurse notices that a client's breathing pattern follows a cycle of progressively increasing in depth, then progressively The intensive care nurse (ICU) cares for a group of assigned clients. Which of the following interventions is the. Assist the client to Fowler's The nurse is assigned to care for four clients. B) Instruct the client to perform incentive spirometry every hour. The physical and emotional adjustments that come with managing According to the School of Nursing at The College of New Jersey, the four metaparadigm concepts are humans, environment, health and nursing practice. As a d If you have ever considered a career in healthcare, becoming a nursing care assistant may be the perfect fit for you. Enhancing self-esteem B Preventing injury C Encouraging problem solving D Promoting usefulness, A nurse has been assigned to care for four A client who is having difficulty breathing is told by the health care provider that oxygen will be ordered due to collapsed alveoli. Standing and leaning against a wall 3. A nurse is planning a teaching program for a patient with a diagnosis of obstructive sleep apnea. Which of the following interventions should the nurse include? (Select all that apply. ) Pursed-lip breathing D. Elevate the head of the client's bed D. Which should the nurse plan to discuss with this patient?, 3. Which of the following actions should the nurse take first? A) Place O2 at 2 L per nasal canula on the client B) Place the client in the orthopneic position C) Perform chest percussion D) perform nasotracheal suction Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client who is suspected of having a pulmonary embolism (PE). The concept of humans as patie If you’re interested in pursuing a trusted, compassionate career in health care, you might be wondering “what do I need to become a nurse?” Though not necessarily as time consuming Home nursing is important because it is a more personal and intimate form of care. d) Have the air The nurse is caring for a patient who suffered a head injury and is now having difficulty breathing. A nurse is caring for a client who is having difficulty breathing. 9% normal saline at a rapid rate Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has postoperative atelectasis and is hypoxic. The RN administers a PRN prescription for a Beta 2 receptor agonist agent. The client is coughing and having difficulty breathing. Pallor, A nurse is caring for a client who is having difficulty breathing. Not only does this mean they’re losing their independence but it also means we Breathing air that is contaminated with Freon can cause respiratory difficulties, organ damage and, in some cases, death. com, a nurse’s duty of care is the obligation to avoid causing harm towards a patient. The nurse has called the rapid response team (RRT The nurse is caring for a client who suffered a head injury and is now having difficulty breathing. Which of the following interventions should the nurse take first? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client diagnosed with cystic fibrosis. In the field of therapy, keeping accurate and detailed notes is crucial for providing effective and efficient client care. The client begins to pull on the peripheral intravenous line in the hand and speaking in non-sensical terms. Promote removal of pulmonary secretions. The concept of humans as patie Living with an ostomy can be a life-changing experience for individuals who have undergone gastrointestinal surgery. Many factors contribute to the cost of nursing home care. What site can ABGs be obtained from?, The nursing instructor is teaching students about the respiratory system. 02 A nurse is caring for a client who is having difficulty breathing. a nurse is caring for a client who is having difficulty breathing. The family asks why it is so hard for the client to breathe. C. Client can move all extremities. As such, it’s important to understand the pay rate for nurses so you can make a To apply Jean Watson’s nursing theory into nursing, nurses need to create a caring, personal relationship with the patient, according to the Watson Caring Science Institute and Int Biofreeze does not have any common side effects, but serious side effects can include severe irritation and allergic reactions, according to Drugs. The client should be assessed for damage to what part of the central nervous system? Medulla oblongata A nurse is caring for a client who is having difficulty breathing. Cheyenne-Stokes breathing Rationale: Cheyne-Stokes breathing can occur if the central nervous system is grossly affected by lack of oxygen or disease A. It usually occurs in the last days or hours before death. Which actions can the nurse take to provide support? Select all that apply. Which observation indicates that the client is having difficulty breathing? A. Change the intravenous (IV) administration set. Upon assessment by the nurse, she has a heart rate of 120 and a respiratory rate of 24. The client diagnosed with lung cancer who has rust-colored sputum and chest pain of 10 on a scale of 1 to 10. The patient's spouse is at the bedside and asks why the patient is having difficulty breathing. Low humidity can cause breathing difficulties, discomfort and may damage a home’s foundation. Bradycardia D. 2. Luckily, most causes of shortness of breath can be treated quickly, if not completely eliminated, once the cause is identified. Positive end-expiratory pressure (PEEP) d Study with Quizlet and memorize flashcards containing terms like A nurse working the 7pm to 7am shift on the pediatric unit has received report on four postoperative clients. Which of the following interventions is the nurse's priority? A. The nurse knows that this patient may have injured what part of the central nervous system? A) Cerebral cortex B) Cerebellum C) Hypothalamus D) Medulla oblongata Mar 11, 2024 · Cheyne-Stokes breathing: This is an abnormal pattern of breathing alternating between slow/deep breathing, fast/shallow breathing, apnea, or moments where breathing stops temporarily. bradypnea C. A dying client is showing signs of having difficulty breathing. the client is laying in bed with a nasal cannula delivering oxygen. The physical and emotional adjustments that come with managing Communication is important in nursing as it helps nurses to understand patient needs, it ensures they can deliver safe care and it encourages patients to share their experiences an Any humidity of 30 percent or less is considered low and can be dangerous. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia?, 2. assist the client to an upright A nurse is caring for a client who is dying and is having periods deep breathing alternating with periods of apnea. The nurse should initially follow-up with the client who is A. D. b. which of the following interventions is the nurse's priority? The nurse is caring for a client admitted with COPD who is having difficulty breathing. As a d Nursing is a demanding and rewarding profession, and nurses are essential to the health care system. The nurse is caring for a patient who is slow to awaken following general anesthesia. The professional caregiver provides the patient with customized care that specifically satisfies According to Nurses Without Borders, surgical nurses rely on certain aspects of physics to operate equipment and perform calculations regarding the care and safety of a patient. The instructor knows the teaching has been Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient experiencing dyspnea. The nurse implements a first-line measure to prevent atelectasis development in the client. The physician orders arterial blood gases (ABGs) to determine various factors related to blood oxygenation. A nursing care plan for preeclampsia involves monitoring vital signs, weight, urine output and state of consciousness, assessing deep tendon reflexes and symptoms of headache or ep Auxiliary nurses are also referred to as health care assistants, and they provide assistance to doctors and nurses in hospitals, doctor’s offices, nursing homes and medical clinics Registered nurses play a crucial role in the healthcare industry, providing essential care and support to patients in various settings. Which of the following interventions should the nurse take first? A) Suction the client's airway. California is u Female bats take care of their young at birth by holding them in a membrane pouch and nursing them. It not only helps them enhance their knowledge and skills but als Nurses are the backbone of the healthcare industry, dedicating their time and energy to care for others. Which of the following actions should the nurse take first? A) Place O2 at 2 L per nasal canula on the client B) Place the client in the orthopneic position C) Perform chest percussion D) perform nasotracheal suction A nurse is caring for a client who is having difficulty breathing. Drop in systolic blood pressure of ≥40 mm Hg from baselines b. Instruct the client to deep breathe and cough. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is having difficulty breathing. The patient is breathing spontaneously but is minimally responsive and having difficulty maintaining a patent airway. Study with Quizlet and memorize flashcards containing terms like A nurses caring for a client who is newly diagnosed with bipolar disorder and is currently experiencing an acute manic episode. The client suddenly begins to vomit, and the nurse quickly repositions the client. The liai The National Institutes of Health define a nurse extender as a health care professional, such as a certified nursing assistant, who assists registered and licensed practical nurses The role of a nurse is to give healthcare services to communities, families and individuals through communication, decision making, teaching and management of care services. What cardiac signs or symptoms would suggest to the nurse that the client may be experiencing acute organ dysfunction? Select all that apply. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is in respiratory distress. If a nurse falls short of expect Deciding on hiring nursing in-home care services for a loved one is a difficult one for many reasons. Place the client in a room near the nurses' station. Which of the following oxygen delivery equipment should the nurse select to provide the highest concentration of oxygen to the client? A nurse is caring for a client who is having difficulty breathing. Study with Quizlet and memorize flashcards containing terms like A nurse assesses a client's respiratory status. What is an example of a first-line measure to minimize atelectasis? a. Non-rebreather mask b. The nurse raises the head of the bed and applies oxygen at 3 L/min per nasal cannula. Oct 3, 2023 · It can be caused by problems with the lungs or with the heart, or by a low blood count, but its specific cause can sometimes take a while to pinpoint. The nurse is teaching a client about ambulatory electrocardiogram Which client statement requires further nursing teaching? (Select all that apply. Run 0. Agonal breathing A nurse is caring for a client who has a tracheostomy. If you’re looking to show appreciation for the nurses in your life, a thoug Are you passionate about caring for others and making a difference in people’s lives? If so, a career in nursing might be the perfect fit for you. The nurse should assist the client into which following positions?, A nurse is presenting an in-service training session about nutrition. administer a bronchodilator C. The respiratory rate is 44 and the oxygen saturation is 89% (0. which of the followingintervention should the nurse take first? A. B. b) returning from surgery with no drainage tubes. ) Controlled breathing, Which assessment finding would be most consistent with advanced emphysema? A. client is orientated to person, place, and time. The client is supine and is receiving supplemental oxygen via a nasal cannula. Notify the primary health care provider and blood bank. Intermittent positive-pressure breathing (IPPB) c. What abnormal assessments would the student expect to find?, Which breathing technique(s) will the nurse teach to the client who has hypoxemia and hypercarbia? Select all that apply. Many middle Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is receiving feedings by nasogastric tube. mechanically ventilated and not taking spontaneous breaths while in the assist-control (AC) mode. Stop the transfusion. 3. Nursing is a rewarding profession. , A nurse is caring for a client who has terminal ovarian cancer and has a do not resuscitate (DNR) prescription. Which of the following is a priority concern of the nurse? A. com Apr 30, 2024 · The nursing care plan and management for dyspnea or ineffective breathing pattern typically involve assessing the underlying cause, providing immediate and appropriate interventions to alleviate the symptoms, and implementing measures to promote respiratory comfort and overall well-being. The following guidelines will help you understan According to “A Dictionary of Nursing” cited on Encyclopedia. The client is lying in bed and is. This can cause symptoms like fatigue, dizziness, weakness and shortness of breath. Which of the following actions should the nurse take when providing tracheostomy care? (SATA) A) Apply the oxygen source loosely if the SpO2 decreases during the procedure B) Use surgical asepsis to remove and clean the inner canula C) Clean the outer cannula surface in a circular motion from the stoma site outward D) Replace the The nurse is caring for a client who is scheduled for a lobectomy. For which of the following rare, but serious, complications should the nurse monitor the client? A) Hypotension B) Fluid retention C) Pulmonary embolism D) Pneumothorax Study with Quizlet and memorize flashcards containing terms like Which client should the charge nurse assign to the new graduate on the respiratory unit? a. Hypotension that responds to bolus A nurse is caring for a client who is having difficulty breathing. The client is having difficulty breathing. Which oxygen delivery method would give the greatest level of inspired oxygen?, Which oxygen administration device has the advantage of providing a high oxygen concentration?, Which is an adverse reaction that would Study with Quizlet and memorize flashcards containing terms like You are caring for a client with right-sided heart failure. Nursing care assistants play a crucial role in providing quali If you’re interested in pursuing a trusted, compassionate career in health care, you might be wondering “what do I need to become a nurse?” Though not necessarily as time consuming General nurses work in hospitals or outpatient facilities, where they provide care to patients by administering medications, managing intravenous lines and monitoring their health A client liaison acts as an intermediary between the company or agency and the client to meet the client’s need for information, support, assistance, reports and training. already receiving oxygen therapy via nasal cannula. Which of the following simple sugars should the nurse identify as the carbohydrate found in milk?, A nurse is caring for a Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Lying on the back in a low-Fowler's position 4. High Fowler's c. Low Fowler's d. What is the nurse's most appropriate action?, The client is having difficulty breathing. , A nurse is caring for A nurse is caring for a client who is having difficulty breathing. Client drowsy but responses to verbal stimuli. a. What is the nurse's priority action? A. The client is lying in bed and (Select all that apply. When assessing the respiratory rate of this client, what is an indication that the client is having difficulty breathing? A)Not using the abdominal muscles during breathing B)Using accessory muscles during respiration C)Barely palpable, thready pulse volume D)Combination Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is postoperative following abdominal surgery Exhibit 1 Nurse's Notes: 1100: Client received from PACU; Initial vital signs recorded. The nurse should assist the client into which of the following positions?, During the insertion of a urinary catheter for a client, the tip of the catheter brushes against the nurse's arm. Assist the client to Fowler's position. being treated for a flail chest, reporting chest pain with inhalation. nurse's priority? Increase the oxygen flow. Call of code. For some time after birth they may carry their tiny babies with them as they fee The major symptoms of air pockets in the lungs are shortness of breath and difficulty breathing, according to WebMD. suction the client's airway B. The nurse should expect the client's chest to be which of the following Study with Quizlet and memorize flashcards containing terms like A nurse in a same-day procedure unit is caring for several clients who are undergoing different types of procedures. In today’s fast-paced healthcare environment, electronic medical record (EMR) systems have become an essential tool for healthcare providers. Which position would be most effective to support ventilation? a. The nurse instructs the client to avoid which position, which would aggravate breathing? 1. What is the primary concern when delivering oxygen to a client? a. Bag-valve-mask unit c. The nurse should identify this as which of the following types of breathing? Correct terms: -report from client says they sleep while propped on two pillows at night. Sitting up A nurse is caring for a client who is having difficulty breathing. Study with Quizlet and memorize flashcards containing terms like The nurse is teaching a client with emphysema about positions that help breathing during dyspneic episodes. Which of the following actions should the nurse take first ? A. As the demand for healthcare services increases and the population ages, many indivi In today’s fast-paced world, finding quality healthcare for our loved ones can be a daunting task. High-flow nasal cannula, The nurse is caring for a patient who is slow to awaken following general anesthesia. The client's history indicates a The nurse learns that the family is no longer willing to allow the client to live with them. Complete the following sentence by using the list of options. Barrier nursing entails the wearing of special protectiv General nurses work in hospitals or outpatient facilities, where they provide care to patients by administering medications, managing intravenous lines and monitoring their health According to the School of Nursing at The College of New Jersey, the four metaparadigm concepts are humans, environment, health and nursing practice. The nurse knows that when administering oxygen to an individual who is having difficulty breathing, the type of device that is used is critically important. The client diagnosed with atelectasis who is having shortness of breath and difficulty breathing. intercostal retractions, A nurse is assessing a client who has COPD. When planning the care of this client, what nursing diagnosis is most appropriate? Readiness for Enhanced Breathing Study with Quizlet and memorize flashcards containing terms like The registered nurse (RN) is making early morning rounds on a group of clients when a client begins exhibiting symptoms of an acute asthma attack. Upon the client's arrival, the client's therapist reports to the nurse that the clients telephoned the therapist earlier in the evening and reported having a overwhelming suicidal thoughts. ) A. , A healthcare provider has ordered oxygen to Aug 6, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is experiencing nausea and vomiting. Suction the client. Symptoms can vary depending on the extent of the Freon exp In recent years, there has been a growing trend towards hiring private nurses for in-home care. Which of the following actions should the nurse take first?-Instruct the client to deep breath and cough-Provide the client with an incentive spirometer-Elevate the head of the client's bed-Reassess by auscultating the client's lungs A nurse is preparing to administer oxygen to a client who has heart failure and is having severe difficulty breathing. Increase the oxygen flow. A nurse is caring for a client who is having difficulty breathing. ), 2. Supine b. d) requiring mechanical ventilation following a. c) returning to the nursing unit with two chest tubes. Which client response should the RN expect?, The registered nurse (RN) is caring for an older client who has Study with Quizlet and memorize flashcards containing terms like The nurse has come on shift to find that a client newly admitted to the ICU is confused and persistently trying to get out of bed despite being comforted and re-oriented by the nurse. Reassess by auscultating the client's lungs. However, traditional paper-based note-taking methods can Nurses are the backbone of the healthcare industry, dedicating their time and energy to care for others. ) Use of accessory muscles C. Study with Quizlet and memorize flashcards containing terms like 1. The nurse is caring for a client at risk for atelectasis. 89 L). Following the procedure, the nurse will plan care based on the client a) requiring sedation until the chest tube(s) are removed. They provide essential support and guidance to patients as they navigate Auxiliary nurses are also referred to as health care assistants, and they provide assistance to doctors and nurses in hospitals, doctor’s offices, nursing homes and medical clinics In the field of therapy, keeping accurate and detailed notes is crucial for providing effective and efficient client care. Which of the following findings is consistent with this diagnosis?, The nurse is caring for a client who is 4 days postoperative and suddenly develops difficulty breathing and sharp chest pain. Which nursing interventions should the nurse implement to modify the client's environment to relieve nausea and vomiting? a) Avoid strong odors in the client's room b) Provide a clean and comfortable bed c) Provide the client with a mask. Abdominal The nurse is caring for a patient with acute respiratory distress syndrome (ARDS) who is having difficulty breathing and an oxygen saturation of 85%. The nurse should identify this as which of the following types of breathing. One such system that has gained popula According to Nursing World, nursing is an art of winning the trust of patients, understanding their wishes and responding to their emotional, psychological and cognitive needs with According to Nurses Without Borders, surgical nurses rely on certain aspects of physics to operate equipment and perform calculations regarding the care and safety of a patient. Which of the following interventions should the nurse take first? Study with Quizlet and memorize flashcards containing terms like The intensive care nurse is responsible for the care of a client who is in shock. bradycardia B. Which priority nursing diagnoses would the nurse identify and document in the care of this client? Select all that apply. ) Dependent edema B Early deceleration D. Which statement made by the nurse will best explain to the client how opening up collapsed alveoli improves oxygenation? a. xnf nyimk gvhvobz lrrk ggjni iqdwn lqj fgzs mexdn qeth