hich intervention should the RN implement when providing care for a client with a newly placed acheostomy tube? Keep the client's wrists restrained at all times. Administer warmed and humidified oxygen. Maintain the tracheostomy cuff pressure at 30 mmHg. Suction the tracheostomy using clean techniaue.
Q: This assignment asks you to make client care assignments for the shift and articulate the rationale…
A: The health care provider group employs early intervention tactics and health promotion activities…
Q: what will the nurse instruct a client to do to promote a healthy respiratory status? a) use pursed…
A: The nurse instructs a client to do to promote a healthy respiratory status. a) Use pursed-lip…
Q: Discuss nursing interventions aimed at preventing/treating respiratory problems for postoperative…
A: Question is related to post operative care or medical surgical nursing Solution given below step
Q: The nurse is preparing to review the pathophysiology of asthma with Taylor's mother. What should the…
A: Question first is related to medical surgical nursing Solution given below step Question second is…
Q: The nurse is caring for a preterm newborn with nasal flaring, grunting, and sternal retractions.…
A: Respiratory distress syndrome in preterms is common due to their immature lung functions. This is…
Q: Impaired gas exchange related to blood flow alteration and maternal anemia. Provide a Nursing Care…
A: Anemia is a loss of blood. it is a condition in the red blood cells are not present in enough amount…
Q: Applying the essential newborn are, the nurse will do which of the following interventions first…
A: The nurse have to intervene just after taking the delivery for the good Caring of new born. New born…
Q: Explain your nursing management and what assessments you need to perform. (rationale included)
A: Naso-gastric tube insertion is done for the client in cases in which client is unable to swallow…
Q: What action does the nurse perform to follow safe techniquewhen using a portable oxygen cylinder?a.…
A: Nursing is a field of medical care that aims to provide client-centered care to all groups including…
Q: During the first 36 hours after the insertion of a chest tube, the nurse notes the water in the…
A: Intercostal tube drainage (ICD) -- It is a tube or catheter that is placed in the thorax to remove…
Q: Make a nursing care plan for ineffective coping and ineffective airway clearance.
A: Ineffective coping is a condition identified when a person is incompetent to assess potential…
Q: The nurse assesses a client suspected of .28 having chronic bronchitis. It would be most important…
A: Chronic bronchitis can best be defined as a condition which is associated with excessive trick you…
Q: nurse is reviewing the recommended preventative care for clients with asthma, chronic bronchitis,…
A: Step 1 Asthma: is a major non communicable disease affecting the respiratory tract. It is…
Q: Think about the priorities inherent in the basic care and comfort needs of clients. After meeting…
A: BASIC CARE- Basic care means care essential to maintain the health and safety needs of an adult,…
Q: Discuss the priority interventions the nurse would use to manage postoperative respiratory distress
A: DEFINITION Post operative respiratory distress is defined as the need for ventilation for…
Q: A nurse is providing postural drainage for a patient withcystic fibrosis. In which position should…
A: Cystic fibrosis It is an inherited life-threatening disorder characterized by altered function of…
Q: The priority nursing intervention to meet the physiological needs of the dying client includes_…
A: The airway is the pathway through which the air or respiratory gases enters and exits the body. This…
Q: . A client complains of severe pain during inspiration. His x-ray shows inflammation of the left…
A: The pleura, a fine glossy membrane that surrounds the inside surface of the rib cage and extends…
Q: Nursing Care Plan Diagnosis Goal Intervention Rationale Evaluation Activity intolerance is…
A: Nursing diagnosis is activity intolerance is associated with reduced hemoglobin as seen by weakness…
Q: Which finding would the nurse expect in a patient with a large tension pneumothorax? Diaphragm is…
A: Pneumothorax is a Air in normally airless pleural space. Two categories of pneumothorax-…
Q: Discuss nursing interventions aimed at preventing/treating respiratory problems for postoperative…
A: Nursing interventions are the actions that are taken by the nurses to form a proper diagnosis and…
Q: How do you to respond appropriately to a patient fire Identify methods associated with preventing…
A: Nurses are highly responsible for catering the proper needs for the patients. They also play equally…
Q: You are assisting the care of a pcardiac arrest patient. Your partner is BVM. You can see there is…
A: When the patient in a life threatening condition the BVM would be very helpful to deal with and to…
Q: Explain How do you respond appropriately to a patient fire. Identify methods associated with…
A: We should be extremely cautious not to panic or lose patience at any time if there is an outbreak of…
Q: short note on Chronic asthma management. P
A: It is important to correctly identify the type of asthma to initiate right medical interventions.
Q: The nurse is assigned to four clients. Which client should the nurse assess first? O 1. The client…
A: Here we have to select a patient which will attend by the nurse first.
Q: Among 11 Gordon's health pattern, which are appropriate when having a health interview with a…
A: Health Meaning of health is constantly changing over time. Generally health and illness are…
Q: Daniela is a CST working the day shift. She is scheduled to be the first scrub on a procedure in…
A: A Certified Surgical Technologist (CST) who is performing the day shift, has been assigned to be the…
Q: Applying the essential newborn are, the nurse will do which of the following interventions first…
A: The newborn is in need of essential care. Because the newborn structure is not fully formed and…
Q: What are Nursing interventions for an asthmatic patient hospitalized on a med/surg unit
A: Asthma It is a chronic inflammatory disease of airway characterized by airflow obstruction,…
Q: A 68-year-old woman has recently undergone cardiac surgery for repair of a defective heart valve.…
A: Inadequate oxygenation after the cardiac surgery is an important concern, since it’s a major cause…
Q: What measures will the nurse plan to add to the client's plan of care to address the need for…
A: 2. Deep breathing is as effortless as it sounds. You breathe in extremely and then try to cough up…
Q: Plan, implement, and evaluate nursing care relatedto select nursing diagnoses involving…
A: In a healthcare setting the role of the nurse is to provide care to the patient based on the…
Step by step
Solved in 2 steps
- 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 tightA nurse is caring for a client who presented to the emergency department with an acute asthma exacerbation. The respiratory rate is 36 breaths/min, and a pulse oximeter is 85% on room air with accessory muscle use to breathe. The nurse placed the client on oxygen 4 liters nasal cannula. The arterial blood gas (ABG) is as follows: pH: 7.28, PaCO2: 50 mm Hg, PaO2: 75 mm Hg, and HCO3: 26 mEq/L. Which of the following treatments is the nurse's highest priority? A) Administer bronchodilators B) Administer sodium bicarbonate Administer methylprednisolone (D) Perform a chest x-rayWhich of the following would the nurse expect to see in client experiencing hypoventilation? increased oxygenation in the alveoli increased carbon dioxide in the bloodstream decreased hemoglobin in the bloodstream decreased carbon dioxide in the alveoli
- Place the actions the nurse should complete in order, from first to last. Introduce yourself to the client. Elevate the head of the bed and administer oxygen 2 L per minute via nasal cannula. Assess airway, breathing, and circulation. Administer furosemide 40 mg intravenously as prescribed. Monitor urine output.patient starts to complain that they are finding it difficult to breathe after insertion of nasogastric. They are displaying more effort required for work of breathing (WOB), diaphoresis, cyanosis and some confusion. Explain your nursing management and what assessments you need to perform. (rationale included)After providing tracheostomy care on a client, create an FDAR charting for the client. DATE/TIME FOCUS DATA, ACTION and RESPONSE
- Scenario: Emily Campbell is a 48 year old female, she came to the Emergency Department with chest pain and some shortness of breath. She was conscious and ambulatory, and was accompanied by her 19 year old daugter. Presenting complaint: "Nurse, I just don't feel quite right. I've had pain on my chest and I've been feeling breathless." Question(s): 1.) What type of health history should the nurse be taking for Ms. Campbell? Elaborate why. 2.) What three vital questions do you need to ask in order to explore Ms. Campbell's symptoms? Explain the significance of each. 3.) Which part of the history assesment tool should you give focus on with regards to Ms. Campbell's case? Give at least 3 and explain.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 pressureAl Strachen is a 16-year-old patient with quadriplegia and a C7 fracture caused by a diving accident. He is currently in a rehabilitation facility. He has a size 6 nonfenestrated cuffed tracheostomy tube in place. The physiatrist has requested that the nurse provide a tracheostomy adjunct to allow the patient to speak. The nurse obtained a Passy-Muir valve and attached it to the 15-mm adapter of the inner cannula. You were then called STAT to evaluate the patient for severe respiratory distress. Explain why the patient did not tolerate the procedure and what you would need to do to correct the situation.
- While inflating the balloon of a pulmonary artery catheter (PAC) with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP), the nurse encounters resistance. What is the best nursing action ? a) add an additional 0.5 mL of air to the balloon and repeat the procedure. b) Advance the catheter with the balloon deflated and repeat the procedure. c) Deflate the balloon and obtain a chest x-ray study to determine line placement. d) Lock the balloon in the inflated position and flush the distal port of the PAC with normal saline asapThe 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 hemothoraxSuctioning for patients with Tracheostomy tubes: If on Ventilator (do what?)______ , if not on ventilator_____________ client. Give 2-3 breaths with an____________ connected to 100% O2 or ask client to take deep breaths. Holding catheter near the top advance until______________ (without suction). Pull back 1 cm. Apply suction. Rotate as you withdraw. Never apply suction more than_________ sec. Rinse catheter in sterile saline or sterile water. -fill in the blanks-