Exhibits
Which actions can the nurse do to assist the client in improving their ventilation and oxygenation? Select all that apply.
Positioning the client with the head of the bed elevated
Avoid treating fever with antipyretics
Encourage the client to take breaks from the oxygen mask every few hours
Providing suctioning so the client does not have to cough
Assist the client in ambulating safely
Asking the client to do quick, shallow breaths
Teaching the client to cough at least once an hour
Correct Answer : A,E,G
A. Positioning the client with the head of the bed elevated helps improve lung expansion and facilitates better ventilation and oxygenation, reducing the work of breathing.
B. Avoid treating fever with antipyretics is not appropriate, as managing fever can help reduce metabolic demand and improve overall comfort, which aids in ventilation.
C. Encouraging the client to take breaks from the oxygen mask is not advisable, as consistent oxygen delivery is critical for maintaining adequate oxygen saturation, especially in cases of pneumonia.
D. Providing suctioning so the client does not have to cough may not be necessary; coughing is a natural mechanism to clear secretions and improve airway patency.
E. Assisting the client in ambulating safely promotes lung expansion, enhances circulation, and aids in the mobilization of secretions, contributing positively to ventilation and oxygenation.
F. Asking the client to do quick, shallow breaths is counterproductive, as it can lead to inadequate ventilation and decreased oxygenation; deep breathing is preferred.
G. Teaching the client to cough at least once an hour is essential for clearing secretions and improving lung function, thereby enhancing ventilation and oxygenation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bismuth subsalicylate contains salicylate, which is related to aspirin; thus, reviewing the medication history for aspirin is essential to avoid potential toxicity or adverse effects, especially since both medications can increase the risk of bleeding.
B. Loperamide is an antidiarrheal medication and is not directly relevant to the treatment of H. pylori or contraindicated with the prescribed medications.
C. Ipratropium is a bronchodilator used for respiratory issues and is unrelated to H. pylori treatment.
D. Fargtidine, if intended to refer to a medication for gastrointestinal conditions, does not have direct relevance to the specific interactions that may arise with the prescribed regimen.
Correct Answer is A
Explanation
A. The symptoms of persistent upper abdominal pain radiating to the back, elevated serum amylase and lipase levels, vomiting, and fever suggest acute pancreatitis, which can occur after cholecystectomy due to potential injury to the pancreas or bile duct obstruction.
B. While biliary duct obstruction can occur postoperatively, the significantly elevated amylase and lipase levels, along with the described symptoms, more strongly indicate pancreatitis.
C. Surgical site infection typically presents with localized symptoms rather than systemic symptoms like elevated amylase and lipase.
D. Hepatorenal failure is unlikely to present with these specific gastrointestinal symptoms and enzyme elevations.
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