NUR 211 Module 8 Exam – 76.25 ALL ANSWERS 100% CORRECT SPRING FALL-2022 SOLUTION GUARANTEED GRADE A+

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The patient will: Maintain an oxygen saturation of 95% or greater on room air. Have clear breath sounds in both upper and both lower lobes. Demonstrate purse lip breathing. Ambulate 100 feet without... dyspnea. Obtain order for daily chest x-ray. Assist with coughing and deep breathing exercises. Change patient position frequently. Limit the use of opioids to manage pain. Encourage early ambulation. Shortness of breath. Elevated body temperature. Retained secretions. Insensible fluid loss. To decrease oxygen consumption. To reduce the production of secretions. To promote lung volume expansion. To prevent mechanical ventilator malfunction. Muffled heart sounds. Expiratory wheeze. Absent breath sounds. Pleural friction rub. Question 6 – Hinkle 611 The RN assesses a patient admitted to the Emergency Department following a motor vehicle accident. The RN notes a paradoxical chest rise, multiple bruises across the chest and torso, crepitus and tachypnea. Which intervention will the RN anticipate that the patient will need first? Administration of analgesics Stabilization of the airway. Insertion of a chest tube. Application of a chest binder. The patient with a non functioning nasogastric tube. The patient in a side lying position following an endoscopy. The patient with a tube feeding with the head of the bed at a 45 degree angle. The patient with an endotracheal tube with a cuff pressure of 25 cm H2O. Place the steps below in the order that the RN should use to instruct the patient in the correct use of a metered dose inhaler. 1 Shake the inhaler. 2 Position the inhaler 1 to 2 inches away from the open mouth 3 Breathe in slowly and deeply while pressing on the inhaler. 4 Hold your breath for a few seconds and then exhale. 5 Rinse mouth. Wait at least one minute between each medication. Self-administer the bronchodilator last. Exhale through the device after administering the medication. Rinse the mouth after administering each medication. The patient will: Drink at least 2,500 mL of water each day. Ambulate 100 feet without experiencing dyspnea Demonstrate purse lip breathing. Shower immediately after waking up in the morning. Praise the UAP since this prevents the patient from tripping on the oxygen tubing. Discuss the action of the UAP with the charge nurse so appropriate action can be taken. Place the oxygen on the patient and speak to the UAP in private concerning their actions. Explain to the UAP in front of the patient that oxygen must be left in place at all times. The patient with pneumonia who has a pulse oximetry reading of 90%. The patient with a hemothorax who has a hemoglobin of 9 g/dL and hematocrit of 20%. The patient who had a bronchoscopy 4 hours ago and has stable vital signs. The patient with a chest tube who has jugular venous distention and a blood pressure of 96/60. Use of pursed lip breathing and three-point positioning. Coarse crackles in bilateral upper and bilateral lower lobes. Oxygen saturation of 90% when at rest. Capillary refill of less than 3 seconds on index finger. Administer aspirin to manage fever. Apply pressure for 5 minutes to injections sites. Measure temperature using a rectal thermometer. Encourage a diet high in fiber. Assess neurological status with vital signs. Folic acid Ferrous sulfate R [Show More]

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