The client was sent to the ED by their provider The client was in the office for an appointment and the provider believes that the client has pneumonia. Client has elevated temperature, fatigue, muscle aches, chills, dyspnea, and a productive cough with yellow-greenish sputum. Client also reports nausea and diarrhea for the last 24 hours. Past medical history: Asthma and diabetes mellitus type 2. Current medications: Albuterol 2 inhalations per metered dose inhaler every 6 hr. Metformin 500 mg PO BID. Vital Signs Temperature: 39.7º C (103.4º F)Apical Pulse: 110/minRespiratory Rate: 26/minBlood Pressure: 100/54 mm HgPulse Oximetry: 87% on room air Nurses’ Notes (1200) Skin warm and dry, face flushed. Skin turgor poor. Mucous membranes pink and dry. Heart sounds regular and moderate. Lung sounds crackles. (1300) Sitting at bedside, reports of increased shortness of breath. Respiratory rate irregular at 28/min. Oxygen saturation 90%. Apical Pulse 108/min. Reports loss of taste. Provider notified. Which of the following actions should the nurse take? Select all that apply
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Name two types of pneumonia.
Name two types of pneumonia.
The school nurse is presenting information to a class to stu…
The school nurse is presenting information to a class to students at a primary school on how to prevent the transmission of the common cold virus. Which information should the nurse discuss?
A patient in the emergency room is experiencing an acute ast…
A patient in the emergency room is experiencing an acute asthma attack (status asthmaticus). The nurse recognizes that albuterol should be administered. Prior to treatment the client’s vital signs are P 132 RR 40. SpO2 86% on room air with audible wheezes. Which findings show desired outcome of albuterol therapy?
The nurse is discharging a client disgnosed with mild interm…
The nurse is discharging a client disgnosed with mild intermittent asthma. Which statement by client shows that they have understood the teaching?
Which task is appropriate for the registered nurse to delega…
Which task is appropriate for the registered nurse to delegate to the nursing assistant?
The nurse is caring for a client diagnosed with pneumonia. W…
The nurse is caring for a client diagnosed with pneumonia. Which information should the nurse include in the teaching plan? Select all that apply.
A nurse in the emergency department is assessing an elderly…
A nurse in the emergency department is assessing an elderly client who has community- acquired pneumonia. Which of the following findings should the nurse expect?
Black widow anti-venom is produced by injecting small amount…
Black widow anti-venom is produced by injecting small amounts of the actual venom into horses. Several days after the first injection, the horse begins to produce antibodies against the venom. Later, more venom is injected to the animal, and exponentially more antibodies are quickly produced. These antibodies can be harvested from the blood and used to treat bite victims. The medication is rarely used, however, as it carries a risk of causing an allergic response in humans who react to the proteins from the horse. Injecting the horse with actual black widow venom produces what kind of immunity?
Patients often suffer from reoccurring symptoms, as the viru…
Patients often suffer from reoccurring symptoms, as the virus is never cleared from the body. Which of the following would account for this?