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- 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 mouthWhile inflating the balloon of a pulmonary artery catheter (PAC) with 1.0 mL of air to obtain a pulmonary artery occlusion pressure (PAOP), the nurse encounters resistance. What is the best nursing action ? a) add an additional 0.5 mL of air to the balloon and repeat the procedure. b) Advance the catheter with the balloon deflated and repeat the procedure. c) Deflate the balloon and obtain a chest x-ray study to determine line placement. d) Lock the balloon in the inflated position and flush the distal port of the PAC with normal saline asapA patient’s chart includes an order that reads as follows: “Lanoxin 250 mcg once daily at 0900.” Which action by the nurse is correct? a )The nurse gives the drug via the transdermal route. b )The nurse gives the drug orally. c) The nurse gives the drug intravenously. d) The nurse contacts the prescriber to clarify the dosage route
- Scenario: 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.What condition do you suspect with this patient? Young man who uses a wheelchair and has trouble breathing. Furhter assessments reveals coarse rhonci in all fields with a pulse ox at 84%, Pale and greasy stool. A) Lung cancer B) Poliomyelitis C) Cystic Fibrosis D) Nyasthenia gravisThe nurse has provided patient education regarding therapy with the SERM raloxifene (Evista). Which statement from the patient reflects a good understanding of the instruction? a) “When I take that long flight to Asia, I will need to stop taking this drug at least 3 days before I travel.”b) “I can continue this drug even when traveling as long as I take it with a full glass of water each time.”c )“After I take this drug, I must sit upright for at least 30 minutes.”d )“One advantage of this drug is that it will reduce my hot flashes.”
- 12.) Like a patient has been receiving an aminophylline (xanthine derivative) infusion for 24 hours. The nurse will assess for which adverse effect when assessing the patient during the infusion?a) CNS depressionb) Sinus tachycardiac) Increased appetited) Temporary urinary retention.The patient dose will depend on a) the size of the patient only b) the operator selections only c) the complexity of the case only d) all of theseAt 11 p.m., a patient is admitted to the Emergency Department (ED) with a respiratory rate of 44 breaths/minute and SaO2 85%. They are anxious with audible wheezes. The patient is immediately given nebulised Salbutamol follow by oxygen via face mask and Hydrocortisone intravenously (i.v) Explain the reason for intravenous (JV) Hydrocortisone. . Provide two (2) nursing interventions with rationales to improve airway clearance and/or improve breathing pattern
- After a nebulizer treatment with the beta agonist albuterol, the patient complains of feeling a little “shaky,” with slight tremors of the hands. The patient’s heart rate is 98 beats/min, increased from the pretreatment rate of 88 beats/min. The nurse knows that this reaction is ana) expected adverse effect of the medication.b) allergic reaction to the medicationc indication that he has received an overdose of the medication.d) idiosyncratic reaction to the medication.Effective communication is essential for ensuring patient safety Question options: A) True B) False43) The nurse is preparing to administer medications for an eight-month-old infant with heart failure. The infant has blood pressure of 114/66 mmHg, apical pulse of 88 beats/minute, and respirations of 30 breaths/minute. Which medication should the nurse withhold until the healthcare provider is notified? 44) A. Digoxin B. Enalapril C. Hydralazine D. Furosemide A child who weighs 10 nounde receives to are in Inuy 1 cocorintion for QB I U vy