Which nursing diagnosis is most relevant to Josh’s current status? Upon returning to the room, the nurse assess Josh’s cough. Which documentation is subjective data? Breath sounds are absent in the base and coarse bilaterally through the rest of the lung fields. What action should the nurse implement prior to applying the sensor?
An accepted method for lung auscultation is to begin at the top of the chest, comparing one side of the chest to the other, moving downward in a systematic method, finishing at the lung base. Red blood cell count RBC 4. Restlessness is an early sign of hypoxia that is often missed. Hold his breath for fifteen seconds. Which action be the nurse demonstrates the use of trust in the nurse-client relationship?
Breathing Patterns Case Study Hesi Flashcards | Quizlet
What is an appropriate and therapeutic response to the mother’s concern about her daughter? Observe the chest expansions for 15 seconds and multiply by 4. To determine the need for application of a nasal cannula, which assessment is most important or the nurse to perform? Rate and depth of respirations increase. Owens reports that a few years ago….
Complaints of being thirsty. The client’s oxygen saturation will be monitored continuously. This may be desirable for Josh at night, to allow him to sleep.
Instruct Josh to cough deeply from chest and spit into specimen cup This technique is the least invasive and will provide sputum rather than mucus. Nurse auscultates vesicular breath sounds in the evolve case study breathing patterns quizlet lung fields. To determine the need for the applicati…. Providing a phone so that Josh’s mother can call home. Josh’s evolve case study breathing patterns quizlet saturation is well below normal, indicating that his gas exchange is impaired.
C “You should be re-evaluated by a healthcare provider before….
Which documentation best reflects nurse’s objective assessment? The medication label states, “take 2 teaspoonfuls every 4 hours as needed.
Prevent nausea evolve case study breathing patterns quizlet to the sputum. Tachypnea-rapid respitory rate, which is consistent with his rate.
The liquid cough syrup is labeled as an antitussive. Josh’s mom gets the meds from the pharm and shows them to the nurse. After determining the priority nursing diagnosis, what step should the nurse take next in developing the plan of care?
Apprehension, anxiety, behavioral changes Decreased level of consciousness LOCconfusion, drowsiness, altered concentration Increased pulse rate Increased rate and depth of respiration or irregular respiratory patterns Decreased lung sounds, adventitious lung sounds e. Which nursing diagnosis is most relevant to James’ current status?
Frequent deep cough, producing small amounts of pale yellow sputum. Hypocarbia, an abnormally low level of carbon dioxide in the blood, may occur. Temazepam Restoril is classified as a h…. Which action should the nurse implement prior to applying the sensor?
HESI Case study Breathing patterns 2
Select all that apply. Josh is discharged from his evolve case study breathing patterns quizlet provider’s care and is happy to resume his normal activities with no further cough or dyspnea. After applying nasal cannula, nurse plans to attach a disposal sensor pad to meausure the O2 sat continuously.
In assessing Josh’s breath sounds, where should nurse listen first? What is the best technique for the nurse to assess Josh’s respirations accurately? The patient care tech is planning to transport the sputum specimen to the lab Which instructions should the nurse provide? The nurse initiate a bladder training p….
What instructions should nurse provide? Which action be the nurse demonstrates the use of trust in the nurse-client relationship? Restlessness is an early sign of hypoxia that is often missed.
While the nurse is explaining this procedure, James asks if it will hurt Which response is best for the nurse to provide? Apply gauze padding to protect the skin. I am so scared. Josh’s respiratory rate is 36 How should the evolve case study breathing patterns quizlet describe Josh’s respiratory pattern. Josh’s mother obtains meds at pharmacy and shows them to the nurse.
Breathing Pattern Case Study
In assisting Josh to obtain a sputum specimen, what action should nurse take? Determine is Josh has a latex allergy-disposable pads may be made of latex-if they are nurse should confirm client does not have a latex sensitivity or allergy. How should the nurse describe josh’s re….
The prescription for abx reads, “Take 2 pills for 1st dose, followed by 1 pill every 12 hours. Since Clyde now voids spontaneously….
Compress Josh’s nailbed-to measure capillary refill how quickly normal color returns. RN initiates a bladder training program….