- List three nursing diagnoses’ (problems, not medical diagnosis) for a patient with a respiratory disease like COPD or pneumonia, and describe a sign or symptom (evidence) for each that tells you the patient has each problem.
- (3 points) For a patient with ineffective airway clearance, list three nursing interventions (not assessments) with the rationale for each.
- A client at a health care facility has been diagnosed with an upper respiratory disorder. Does the nurse understand that which of the following structures forms a part of the upper airway?
- Pharynx
- Bronchi
- Alveoli
- Trachea
- The nurse plans to collect a sputum specimen from a client for laboratory diagnosis after the client awakens. Which of the following reasons explains the nurse’s choice of an early morning collection?
- Prevents contamination of the specimen
- Ensures more mucous is available
- Removes food residue and microorganisms
- Mobilizes secretions from the lower airway
- A nurse is caring for a client who has been having seizures secondary to alcohol withdrawal. The nurse uses an oral airway in order to maintain the client’s airway. What should the nurse do in order to open the airway and facilitate the insertion of the oral airway in the client?
- Perform oral suctioning if necessary
- Open the clients mouth with a gloved finger and thumb
- Position the client supine with the neck hyperextended
- Hold the airway so that the curved tip points upward.
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Daphne Hanson
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Daphne Hanson2022-07-03 02:49:292022-07-03 02:49:29List three nursing diagnoses’
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