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How to formulate a Nursing Diagnosis of Impaired Comfort if the patient is experiencing episodic shortness of breath?
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- Discuss the nursing interventions for a patient with sleep apnea.A client who is scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. In preparing the client for the procedure, which intervention has the highest priority? Allow client to gargle with warm salt water. Administer a sedative to alleviate anxiety. Instruct client to write down the questions. Deny client's request for a midnight snack.Discuss the nursing interventions for a patient with Meniere's disease.
- 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 calmWhat is the nursing care plan of the following scenario? Mr. Bryan L. was assessed and found to have the following signs and symptoms: awake, confused and agitated. He responds to your questions but sometimes he does not use appropriate terminology. He knows his name, but does not know he is in the hospital. He has productive cough, which he spits in the emesis basin. The sputum is thick and yellow, with streaks of blood. Mr. L. states, “I smoke 3 packs of cigarettes a day for many years and I’m going to keep on smoking!” Laboratory values reflect an elevated level of carbon dioxide in his blood. On minimal exertion, he is experiencing shortness of breath (dyspnea); respiratory rate is 29 breaths/min and uses his abdominal accessory muscles to breathe. Capillary refill is sluggish, greater than 3 seconds. Both of his hands and feet are pale and cold to touch. Assessment Diagnosis Goal/expected outcome Planning Intervention Rationale Evaluation Objective data: Subjective…Example of specific nursing evaluation for impaired gas exchange due to lung cancer
- The nurse is planning care for a client with a diagnosis of bacterial meningitis. What precautions can the nurse expect to put in place?A 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 acetylcysteineMake a nursing care plan for ineffective coping and ineffective airway clearance.
- Select nursing diagnoses for patients in unsafesituations.Discuss how the Registered Nurse uses clinical judgement to set priorities when caring for a hypoglycemic patient.The registered nurse is evaluating a patient with pneumonia who reports chest pain during inspiration and cough. What evaluation data would be associated with this symptom?