A nurse is caring for a client who has respiratory infection. C) The patient needs physiotherapy. What information is most important for the nurse to share with this client? The nurse is caring for a client status post adenoidectomy. The client is a male. Place a mask on the client when they leave their room. Which of the following is an appropriate nursing action? 1. What information is most important for the nurse to share with this client? a) Use a type of barrier birth control while you are taking this antibiotic. Study with Quizlet and memorize flashcards containing terms like 1. Collapsed bronchial structures C. Encourage the client to ambulate frequently. Select the client who will most likely have a suppressed response. S. What group of upper respiratory drugs causes local vasoconstriction, which decreases blood flow and shrinks swollen membranes to improve air flow? A) Antitussives B) Decongestants C) Expectorants D) Mucolytics, What would be the nurse's best response if a patient A nurse is calculating a client's intake for a 12-hr shift. b. A fiery red edematous rash on the cheeks, A client returns A nurse has finished giving care to a client who has a communicable respiratory infection. What may induce acute bronchitis? A. During assessment, the nurse finds that the patient is experiencing increased dyspnea. C A nurse is reviewing the medical record for a client who has a health care associated infection (HAI). The nurse should A) The patient has a narrowed airway. The client is 71 years old. Study with Quizlet and memorize flashcards containing terms like A nurse is assigned to care for a client with herpes zoster. Select the area that the nurse Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with several broken ribs. Direct lung damage D. impaired gas exchange The nurse working on a medical respiratory nursing unit is caring for several clients with respiratory disorders. Study with Quizlet and memorize flashcards containing terms like An acute medicine unit of a hospital currently has a number of clients who have tested positive for methicillin-resistant Staphylococcus aureus (MRSA). Aug 9, 2024 · It is essential for nurses to model appropriate hygiene practices in all aspects of client care. Which infection control measures Study with Quizlet and memorize flashcards containing terms like A patient comes to the clinic with symptoms as seen in a cold. Place goggles over eyes 5. The client is most likely to experience what type of acid-base imbalance? 1. Prone. Chemical irritation B. Metabolic alkalosis from Study with Quizlet and memorize flashcards containing terms like The nurse has reinforced instructions to a client with tuberculosis about proper handling and disposal of respiratory secretions. A newly immigrated woman from Korea 3. Which of the following instructions should the nurse include? A. D) The patient has a hemothorax. The client has tachypnea, is restless, and displays cyanosis. Study with Quizlet and memorize flashcards containing terms like A client with an upper respiratory tract infection has been prescribed an antibiotic that the nurse is not familiar with. The drainage touches a cut on a nurse's skin, leading to an infection. What would be an appropriate nursing diagnosis for this client? a. Study with Quizlet and memorize flashcards containing terms like The nurse provides home care instructions to a client with systemic lupus erythematosus and tells the client about methods to manage fatigue. Study with Quizlet and memorize flashcards containing terms like The nurse learning about infection discovers that which factor is the best and most important barrier to infection? a. Which healthcare provider's orders should the nurse anticipate? Select all that apply. Which of the following illustrate the rationale for reporting? (Select all that apply. Postal Service 4. Aug 9, 2024 · Gain a deeper understanding of nursing assessments, evidence-based interventions, realistic goals, and nursing diagnoses tailored to infection prevention and control. The client asks how they acquired the infectious agent. , The nurse is caring for a patient admitted with an acute exacerbation of chronic obstructive pulmonary disease. "I should take hot baths because they are relaxing. "I should sit whenever possible to conserve my energy. Study with Quizlet and memorize flashcards containing terms like A nurse has just received change-of-shift report on four clients. The nurse should use warm water to wash hands to decrease the risk of removing protective oils from skin. The nurse is caring for a 23-year-old female client who uses oral contraceptives and has been prescribed ampicillin for treatment of a respiratory infection. hearing loss c. c) prototypes. The nurse should assist the client into which of the following positions. Which precautions will the nurse begin?, Two nurses are working together to double-bag some contaminated items from the room of a client in isolation. Which of the following characteristics would the nurse expect to note when assessing the lesions of this infection? 1. What should the nurse caring for the client do if not familiar with the new medication? Which action by the nurse has the highest priority when caring for a client diagnosed with vertigo?-Encourage the client to keep his/her eyes open-Administer antivertiginous medication as ordered-Encourage the client to stare straight ahead, focusing on one object-Educate the client on using the call light for assistance with ambulation Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client with acute viral conjunctivitis. There is no visible Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has pneumonia. The client had dextrose 5% in 0. The nurse should inform the client that influenza is transmitted by which of the following modes?, A nurse is caring for a client who has acquired an infection from a visitor. Which of the following techniques should the nurse use when performing nasotracheal suctioning for the client Insert the suction catheter while the client is swallowing. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client whose respiratory status has declined since shift report. The nurse determines that the client understands the instructions if the client verbalizes to take which measure?, The nurse prepares to give a bath and change the bed linens for a client with Study with Quizlet and memorize flashcards containing terms like A patient comes to the clinic with symptoms as seen in a cold. Small blue-white spots with red bases 4. A man who is an inspector for the U. The nurse knows that health care professionals are required to report communicable and infection diseases. asthma d. Encourage the client to increase fluid intake. a nonrebreather mask should fit snugly over a client's face c. The nurse should base her response on the fact that the: A. The client had an appendectomy 6 months ago. Place the client in a negative airflow room. Put on mask to cover nose and mouth. Wear an N95 respirator when caring for the client. Risk for injury related to suppression of inflammatory reaction c. " 2. The nurse should identify which of the following findings as a risk factor for acquiring an HAI? a. Clients C. By utilizing this guide, nurses can enhance their skills in identifying, preventing, and managing infections. A nurse is caring for a client who has a new prescription for aztreonam to treat a respiratory tract infection. , A client who a. The client asks the nurse how he may have developed this infection. perform hand hygiene 4. Equipment F. 1) insert the catheter at a 45 degree angle 2) place the clients arm in a dependent position 3) shave excess hair from the insertion site 4) initiate IV therapy in the veins of the hand CORRECT: 2) place the clients arm in a dependent position 1) generally the nurse should insert at a 10 to 30 degree angle but for older adults an angle of 10 to 15 degrees is preferable because veins are closer Study with Quizlet and memorize flashcards containing terms like A client has a diagnosis of HIV and has been admitted to the hospital with an opportunistic infection that originated with the client's normal flora. Sims' D. Colonization by host bacteria b. If infection occurs, teach the client to take anti-infectives as prescribed. The nurse finds the client in severe respiratory distress when entering the room. Jun 11, 2023 · Introduction: Lower respiratory tract infections (LRTIs) can range from mild respiratory illnesses to severe conditions such as pneumonia or bronchitis. B. Which of the following links in the chain of infection does the faucet represent?, A nurse is assisting with teaching a newly licensed nurse about surgical asepsis. When responding to the client, the nurse would incorporate an understanding of which factor as contributing to the organism's resistance? The nurse is caring for a client on droplet precautions who has a prescription for a CT scan. Closed bronchial tree Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the care of a client who is being placed on transmission-based precautions. Put on gown 3. Use alcohol-based hand sanitizers on hands for at least 10 seconds. 2 hr c. Why did this client most likely become ill from his resident microorganisms?, The nurse is caring for a client who is hospitalized and has an indwelling urethral catheter. 1, 2, 4, 3. Study with Quizlet and memorize flashcards containing terms like which of the following should the nurse recognize as a sign of possible infection and a post-operative client?, a nurse is reinforcing discharge teaching with a client who is immunocompromised. Place the client in a private room. reposition the client, A nurse is caring for a client who has a three-chamber closed chest tube system. Which The nurse is caring for a client with acute respiratory distress syndrome who is intubated, on mechanical ventilation, and receiving a neuromuscular blocking agent (NMBA). In which order should the personal protective equipment (PPE) be removed? a. Which of the following clients should the nurse assess first? A client who is postoperative with abdominal distention and no bowel sounds A client who has diabetes mellitus and a blood glucose level of 105 mg/dL A client who has heart failure and 2+ pitting edema A to Client Problem Health Promotion and Disease Prevention Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures Complications Therapeutic Procedures Interprofessional Care Nursing Care Medications Client Education. The nurse is writing a care plan for a client who has been prescribed a nasal steroid. The client has bipolar disorder. strip the client's chest tube 3. My fever is gone, and I have a good appetite. d) the standard with which newer, similar drugs are compared. Disturbed sensory perception (kinesthetic) related to CNS effects b. 4, 2, 3, 1 b. Dorsal recumbent. Encourage coughing and deep breathing. skin test doesn't differentiate between active and dormant tuberculosis infection. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is about to begin taking metronidazole to treat an anaerobic intra-abdominal bacterial infection. If taking antibiotics, instruct the client to take the full course of antibiotics even if symptoms improve or disappear. Avoid administering the prescribed medication to the client. A. seizure disorder b. The nurse should instruct the client to report which of the following adverse effects of the drug? (Select all that apply. b) generic name drugs. increase the client's wall suction 2. Which nursing diagnosis best supports the assessment by the nurse? a) Ineffective Airway Clearance b) Ineffective Breathing Pattern c) Impaired Gas Exchange d) Risk for Infection, A Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a gynecologic infection and a history of alcohol use disorder. Drug irritation C. B) The patient has pneumonia. Furniture E. Gastrointestinal secretions c. ) - nitrofurantoin - amoxicillin - aztreonam - cefotetan The nurse is caring for a client with a respiratory infection. ", The nurse is caring for a 23-year-old female client who uses oral contraceptives and has been prescribed ampicillin for treatment of a respiratory infection. ) A. When transporting the client to radiology, the nurse should ensure that the transporter uses protective equipment correctly to reduce the environmental spread of infection when the client is outside the room. " The nurse should identify the client is likely in which of the following stages of infection? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has streptococcal pharyngitis and an allergy to penicillin. Inflammatory processes d. Respiratory acidosis from inadequate ventilation 2. A nurse cares for several clients on an inpatient unit. The client is asking the nurse a question regarding the Mantoux test for tuberculosis. Which of the following interventions should the nurse include in the pan of care? Select all that apply: 1. Which of the following actions should the nurse take to promote thinning of respiratory secretions? A. Don gloves. Jul 8, 2024 · The nurse is caring for a patient who has a respiratory infection. Skin and mucous membranes, , . Aspiration, The occupational nurse is completing routine assessments on the employee. anemia, A nurse is A nurse is contributing to the plan of care for a client who is being admitted to the facility with a suspected diagnosis of pertussis. What should the nurse caring for the client do if not familiar with the new medication? a. Planning and evaluation control and prevention Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is about to begin taking isoniazid to treat tuberculosis. The nurse suspects the client has acquired an infection. The nurse notes that the IV insertion site A nurse in a clinic is caring for a client who reports generalized aches and fever for the past 12 hours. 4 hr d. The client complains of chest burning. Impaired gas exchange B. c. D. Administer an antibiotic with which the nurse is Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who acquired an infection after touching a faucet that an infected person had touched. Get to know the nursing assessment, interventions, goals, and nursing diagnosis specific to inadequate ventilation/perfusion by referring to this comprehensive guide. ), A nurse is caring for a client who has a streptococcal pharyngitis and an allergy to penicillin. The client has a blood pressure of 142/88 mm Hg, pulse of 102 bpm, and respirations of 26 breaths/minute. Necrosis of the alveoli D. Use hot water when washing Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has severe acute respiratory syndrome (SARS). d. 45% sodium chloride infusing at 125 mL/hr, gentamicin 150 mg in 100 mL at 1400, famotidine 20 mg in 50 mL at 1000 and 1600, 250 mL of blood over 2 hr, and a nasogastric flush of 30 mL every 2 hr. Nursing care plays a critical role in managing LRTIs by promoting respiratory function, managing symptoms, and preventing complications. Which of the following actions should the nurse plan to take when caring for this client? Select all that apply, A nurse is assisting with caring for a female client who has a newly placed ileostomy, A nurse is caring for a client The nurse is caring for a client with acute respiratory distress syndrome (ARDS) who was just intubated, placed on mechanical ventilation, and is receiving a neuromuscular blocking agent (NMBA). , A nurse is performing hand hygiene after caring for a client who has Clostridium difficile. Study with Quizlet and memorize flashcards containing terms like The client, with a lower respiratory airway infection, is presenting with the following symptoms: fever, chills, dry hacking cough, and wheezing. The nurse should identify that which of the following drugs can cause a reaction similar to disulfiram if the client drinks alcohol while taking it? (select all that apply. The nurse should recognize that cautious use of the drug is indicated if the client also has which of the following conditions? a. 1 hr b. Viruses, A client has a draining, infected wound. 1, 4, 3, 2 c. C. Place the client in a room that has negative air pressure of at least 6 air exchanges per hour 2. 6 hr, A nurse is assisting in the care of a client who has a prescription to Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a newly licensed about hand hygiene. " 3 A nurse is providing care to a client who has developed an infection due to Candida. 4, 2, 1, 3 d. Which diagnostic test should the nurse perform first?, A nurse practitioner diagnosed a patient with an infection in the maxillary sinuses. Health care workers B. The client is an example of which of the 26. 2. Apr 30, 2024 · In this nursing care plan and management guide, learn how to provide care for patients with with impaired balance of gas exchange. area of redness is measured in 3 days and determines whether tuberculosis is present. The nurse is caring for an adolescent client injured in a snowboarding accident. , A client with an upper respiratory tract infection has been prescribed an antibiotic that the nurse is not familiar with. com Feb 9, 2022 · The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data. The client has a head injury, a fractured right rib, and various abrasions and contusions. See full list on nurseslabs. Which health care provider's orders should the nurse question? Select all that apply. In this section, we will cover subjective and objective data related to pneumonia. The infection is resistant to several medications. A generalized body rash 3. What group of upper respiratory drugs causes local vasoconstriction, which decreases blood flow and shrinks swollen membranes to improve air flow? A) Antitussives B) Decongestants C) Expectorants D) Mucolytics, What would be the nurse's best response if a patient Study with Quizlet and memorize flashcards containing terms like The clinic nurse is caring for a client with acute bronchitis. Planning Care for Client Who Has an Acute Respiratory Infection illness management. Bacteria D. The nurse should recognize that which of the following drugs can be safely administered to this client?, A nurse is administering cefotetan IV to a client to treat an intra-abdominal infection. Which measures should the nursing staff prioritize in preventing the spread of MRSA to clients who are currently MRSA-negative?, To eliminate needlesticks as potential hazards to The nurse is caring for a client who has just returned to the unit after a colon resection. Which of the following statements should the A nurse is caring for a client who states, "I am feeling so much better. Which of the following findings in the client's medical record should the nurse recognize as requiring cautious use for this prescription and report to the provider? A nurse is caring for a client who acquired an infection after touching a faucet that an infected person had touched. The nurse should plan for the blood to infuse over which of the following lengths of time? a. Clustered skin vesicles 2. Encourage regular use of the incentive Study with Quizlet and memorize flashcards containing terms like In which order will the nurse take these actions before doing wound irrigation and a dressing change for a client who has a wound infected with methicillin-resistant Staphylococcus aureus (MRSA)? 1. An uninsured man who is homeless 2. Which of the following links in the chain of infection does the faucet represent ? A nurse is planning to admit a client who has a respiratory syncytial virus (RSV). Ineffective airway clearance related to bronchospasm d Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has influenza. Respiratory alkalosis from anxiety and hyperventilation 3. The nurse understands that an infection occurs in a cycle and involves several elements. The nurse has administered a Mantoux (tuberculin) test to four clients. What does the nurse suspect? a) Infection b) Postoperative bleeding c) Edema of the upper airway d) Plugged tracheostomy tube A nurse is caring for a client who has dyspnea caused by a respiratory infection. What might be revealed by a Study with Quizlet and memorize flashcards containing terms like A nurse is assisting in the care of a client who has heart failure and a prescription to receive a unit of packed red blood cells. use a nonrebreather mask to deliver low flow oxygen d. When planning a focused respiratory assessment, the nurse should know that this type of infection most often causes which type of impairment? A. Orthopneic. The nurse should determine that which client on the nursing unit is at the lowest risk for infection with tuberculosis? 1. clamp the client's chest tube 4. The nurse is caring for a client with a lower respiratory tract infection. A client diagnosed with human immunodeficiency virus (HIV) A client diagnosed with pneumonia A client diagnosed with active tuberculosis A client who has been exposed to tuberculosis Which of the following actions should the nurse take? A. What is a role of the "clean" nurse?, A nurse is reviewing an adult client's chart and sees that the client is Study with Quizlet and memorize flashcards containing terms like When is it necessary for the nurse to implement the observable personal protective equipement (PPE) intervention? Providing care to a client in isolation Feeding a client known to spit food Double-bagging biohazardous materials Suctioning a tracheostomy, The nurse has completed an intervention with a client. What are the elements in the chain of infection? 4) "Drugs that require refrigeration lose potency if kept at room temperature. Which statement by the client indicates a need for further instruction? 1. The client ask what may have caused the infection. What type of transmission is this?, A client who has a respiratory infection sneezes without covering the mouth and nose. An older woman admitted from a a) washing hands before removing the contaminated gown b) folding the soiled side of the gown to the inside before removing c) Wiping the soiled surface of the gown with disinfectant d) removing the garments that are most contaminated first, The nurse is caring for a client with an active upper respiratory infection. Metabolic acidosis from calcium loss due to broken bones 4. the reservoir bag on a nonrebreather mask should collapse with exhalation b. a nonrebreather mask dries a client's mucous membranes, A nurse is caring for a client who is receiving oxygen therapy via a nasal cannula. vngh pswwo ijhuen llzqh vlcxbi bkdvate kronhng grgvz ycck mpv