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- Which of the following nursing interventions is appropriate for a patient with impaired mobility? a) Encouraging the patient to remain in bed at all times b) Assisting with range-of-motion exercises c) Restraining the patient to prevent falls d) Administering sedatives to keep the patient calm5. The nurse is caring for an elderly client just admitted with bronchopneumonia. Which client assessment finding is of greatest concern? a) Acute confusion b) Respirations 26 c) Bilateral Ronchi d) Yellow-colored sputumThe Advanced Practice Nurse is instructing a patient on managing Asthma exacerbations at home. This instruction would include that first the patient would increase the beta 2 agonists frequency. The next action the patient would take is to: O A) Contact the provider B) Double inhaled corticosteroid dose C) Wait 24 hours for symptoms to improve D) Start montelukast (Singulair)
- The following questions will assist the nursing student in the assessment of a client suspected for pneumonia. 1.) What should the nurse note or observe when counting respirations? 2.)How is tactile fremitus assessed? 3.) Describe the method for checking diaphragmatic axcursion. 4.) Describe the pattern of percussion to the anterior and posterior thorax. 5.) What is the characteristic tone when percussing normal lung tissue? 6.) Describe the different techniques in voice auscultation.The nurse is teaching a patient about the inhaler Advair (salmeterol/fluticasone). Which statements by the patient indicate a correct understanding of this medication? Select all that apply.a) “I will rinse my mouth with water after each dose.”b) “I need to use this inhaler whenever I feel short of breath, but not less than 4 hours between doses.”c) “This medication is taken twice a day, every 12 hours.”d) “I can take this inhaler if I get short of breath while exercising.”e) “I will call my doctor if I notice white patches inside my mouthA 55-year-old patient presents to the emergency department with acute shortness of breath, wheezing, and coughing. The patient has a history of chronic obstructive pulmonary disease (COPD) and reports not having used their prescribed inhaler as regularly as advised. Which of the following actions is the priority for the nurse to take?A) Instruct the patient to resume regular use of their inhaler as prescribed.B) Administer oxygen therapy and prepare to administer bronchodilators as prescribed.C) Educate the patient about the importance of quitting smoking immediately.D) Schedule the patient for a pulmonary function test (PFT) to reassess their COPD.
- Identify five (5) drugs that a registered paramedic CANNOT administer.A patient is admitted with a diagnosis of Guillain-Barre syndrome (GBS). Which of the following findings on physical examination would be MOST concerning for the nurse? a) Decreased muscle strength b) Absent deep tendon reflexes c) Sensory disturbances in the extremities d) Difficulty swallowingScenario: Maria Reyes, 67 years old, is seen at a health clinic with rapid short breaths accompanied by blood-streaked sputum, pleuritic chest pain, fever, and recurrent chills. The following questions will assist the nursing student in the assessment of this client suspected for pneumonia. 1.) What should the nurse note or observe when counting respirations? 2.)How is tactile fremitus assessed? 3.) Describe the method for checking diaphragmatic axcursion. 4.) Describe the pattern of percussion to the anterior and posterior thorax. 5.) What is the characteristic tone when percussing normal lung tissue? 6.) Describe the different techniques in voice auscultation.
- The nurse is assessing a patient for possible substance abuse. Which assessment finding indicates possible use of amphetamines? a )Lethargy and fatigueb) Cardiovascular depressionc )Talkativeness and euphoriad )Difficulty swallowing and constipationWhich of the following assessments should the nurse prioritize when caring for a patient with suspected compartment syndrome? a) Capillary refill b) Pedal pulses c) Skin temperature d) Range of motionwhat are post anaesthetic and post-operative nursing management requirements for someone with intravenous (IV)