a cardiac contusion
facial injuries with possible fractures
torn knee cartilage
facial injuries with possible fractures
this position facilitates mouth care and feeding.
the esophageal sphincter relaxes in comatose clients.
the client will gag frequently on oral secretions.
the cough reflex is lost in comatose clients.
special precautions must be taken during and after the procedure to protect others from radiation exposure.
all radioactivity is internal and excreted via the urine, so double-flushing after urinating is the only precaution necessary.
no radioactive substances are used in this diagnostic procedure.
the amount of radioactivity is very small, so no special precautions are required to protect others.
of no relevance to the nursing assessment.
an expected finding due to the client’s age.
a normal finding.
indicative of a barrel chest, an abnormal finding.
Do not eat or drink anything for 12 hours before the test.
Avoid smoking the morning of the test.
This test, although painful, is vital to predict your future care needs.
Use your bronchodilator inhaler as needed the day of the test.
“I’m not going to drive today. My sister will pick me up.”
“I will stop at the grocery store for a bag of hard peppermint candy.”
“I’ll call my doctor if I have trouble breathing.”
“I’m going to a wine-tasting party tonight.”
remove the nasopharyngeal airway immediately.
place the client in a supine position.
apply a warm compress to the neck.
place a humidifier by the bedside.
initiates respiratory isolation precautions.
administers a narcotic cough suppressant.
alerts coworkers that anyone not vaccinated for pertussis as an infant should avoid contact with the client.
obtains a sputum specimen for culture.
name of insurance company
monitoring vital signs.
obtaining throat cultures.
antibiotic medication teaching.
use of a cough suppressant at bedtime.
resting the voice.
effective coughing techniques.
Apply ice packs to the nose.
Give the client an emesis basin into which she can spit the blood.
Pinch the nose toward the septum.
Ask what precipitated the incident.
Inquire about current medications.
5, 3, 2, 1, 4.
2, 3, 1, 4, 5.
3, 2, 1, 4, 5.
3, 1, 2, 4, 5.
“I would like to see the dietitian about my weight.”
“I’m going to sleep on my back for the next 2 weeks.”
“I won’t snore so loud if I drink a glass of wine before bedtime.”
“Please ask the doctor to order a sleeping pill for me.”
“Persistent hoarseness is a sign of voice strain. You should rest your voice for a couple of weeks and see if it improves.”
“Persistent hoarseness can be an early sign of laryngeal cancer. Please tell your doctor about this.”
“Since you don’t also have a sore throat, it really isn’t anything to worry about.”
“Try using warm salt-water gargles three to four times a day. This sounds like persistent laryngitis.”
the trachea and esophagus are separate, so choking is not a risk.
choking is a significant risk after total laryngectomy.
choking can be prevented by closing the tracheostomy stoma with a finger while swallowing.
oral intake should begin with water only until the client learns to swallow without choking.
had a father who died of lung cancer.
worked in a cotton mill for 25 years.
smoked cigarettes for 40 years.
received a pacemaker at the age of 55.
tuberculosis is a bloodborne disease and the husband does not have to worry.
the client has active TB and the husband should immediately start prophylactic treatment.
the client has developed antibodies to TB; further testing is necessary to determine if the disease is active.
the husband definitely has contracted the disease and should begin medications.
level of consciousness.
lung assessment findings.
intake and output results.
take quick shallow breaths in rapid succession while holding the canister down.
rinse the mouth after using the inhaler to reduce systemic absorption of the drug.
use the inhaler containing the anti-inflammatory drug first, then the bronchodilator.
use the anti-inflammatory drug as needed to treat acute episodes of wheezing.
Because oxygen is flammable, the client should not smoke.
Oxygen is used only at night for clients with COPD.
The client needs to be closely monitored for signs of respiratory depression.
Oxygen is never used for clients with COPD because they may become dependent on it.
“I don’t need any pain medication right now.”
“I need to drink extra water for lunch.”
“It is too painful to walk in the hallway today.”
“I would like to have a laxative before I go to sleep.”
empty the collection device.
reinsert the tube.
place an occlusive dressing over the wound.
call the physician.
develop plans to form a cooperative exercise group.
develop a program to supply low-cost flotation devices to local boaters.
organize a clinic for pneumococcal pneumonia vaccinations.
start a smoking prevention campaign for their peers.
verbalize the importance of smoke detectors.
start a smoking prevention campaign for their peers
develop a program to supply low-cost flotation devices to local boaters
restlessness and tachypnea
hypotension and tachycardia
decreased urine output