276.While monitoring a client during a seizure, which interventions…
Question Answered step-by-step 276.While monitoring a client during a seizure, which interventions… 276. While monitoring a client during a seizure, which interventions should the nurse implement? (Select all that apply)• Move obstacle away from client• Monitor physical movements• Observe for a patent airway • Record the duration of the seizure278. An older adult female admitted to the intensive care unit (ICU) with a possible stroke is intubated with ventilator setting of tidal volume 600, PlO2 40%, and respiratory rate of 12 breaths/minute. The arterial blood gas (ABG) results after intubation are PH 7.31. PaCO2 60, PaO2 104, SPO2 98%, HCO3 23. To normalize the client’s ABG finding, which action is required?• Report the results to the healthcare provider.• Increase ventilator rate.• Administer a dose of sodium carbonate.• Decrease the flow rate of oxygen.279. The mother of the 12- month-old with cystic fibrosis reports that her child is experiencing increasing congestion despite the use of chest physical therapy (CPT) twice a day and has also experiences a loss of appetite. What instruction should the nurse provide?• Perform CPT after meals to increase appetite and improve food intake.• CPT should be performed more frequently, but at least an hour before meals.• Stop using CPT during the daytime until the child has regained an appetite.• Perform CPT only in the morning, but increase frequency when appetite improves. 281. A client with type 2 diabetes mellitus is admitted for frequent hyperglycemic episodes and a glycosylated hemoglobin (HbA1c) of 10%. Insulin glargine 10 units subcutaneously once a day at bedtime and a sliding scale with insulin aspart q6h are prescribed. What action should the nurse include in this client’s plan of care?• Fingerstick glucose assessment q6h with meals• Mix bedtime dose of insulin glargine with insulin aspart sliding scale dose• Review with the client proper foot care and prevention of injury • Do not contaminate the insulin aspart so that it is available for iv use• Coordinate carbohydrate-controlled meals at consistent times and intervals . Teach subcutaneous injection technique, site rotation and insulin management283. While assessing a client’s chest tube (CT), the nurse discovers bubbling in the water seal chamber of the chest tube collection device. The client’s vital signs are: blood pressure of 80/40 mmHg, heart rate 120 beats/minutes, respiratory rate 32 breaths/minutes, oxygen saturation 88%. Which interventions should the nurse implement?• Provide supplemental oxygen• Auscultate bilateral lung fields• Administer a nebulizer treatment• Reinforce occlusive CT dressing• Give PRN dose of pain medication284.Before leaving the room of a confused client, the nurse notes that a half bow knot was used to attach the client’s wrist restraints to the movable portion of the client’s bed frame. What action should the nurse take before leaving the room?• Ensure that the knot can be quickly released.• Tie the knot with a double turn or square knot.• Move the ties so the restraints are secured to the side rails.• Ensure that the restraints are snug against the client’s wrist.286.An older adult male is admitted with complications related to chronic obstructive pulmonary disease (COPD). He reports progressive dyspnea that worsens on exertion and his weakness has increased over the past month. The nurse notes that he has dependent edema in both lower legs. Based on these assessment findings, which dietary instruction should the nurse provide?• Limit the intake of high calorie foods.• Eat meals at the same time daily.• Maintain a low protein diet.• Restrict daily fluid intake. Health Science Science Nursing RNSG 1111 Share QuestionEmailCopy link Comments (0)
