In assessing Mr. Ross’s respiratory status, you observe his respiratory rate at 26 breaths/min, labored, and his pulse oximetry reading is 90% on 2 L of O2 per nasal cannula. He complains of dyspnea. His phlegm is green and thick and has an odor.  You want to provide the best care for your patient to help loosen his respiratory secretions and ease his shortness of breath. What interventions can you, as the nurse, initiate to promote airway clearance for Mr. Ross?

The nurse is caring for a postoperative patient on the medical-surgical floor. To prevent venous stasis and the formation of thrombus after general anesthesia, the nurse encourages:

The home care nurse is caring for a patient who has severe Chronic Obstructive Pulmonary Disease (COPD) and uses home oxygen therapy. The patient increased the oxygen flowmeter from 2L/min to 5L/min and reports to the nurse feeling much better. The patient’s pulse oximetry is 100%. What is the best action of the nurse?

Yesterday, a client had a right lobectomy of the lung due to cancer.  Today, the nurse auscultates crackles in both lung fields.  The nurse should:

According to the American Nurses Association (ANA), nurses should use research findings in their practice. What does this mean for nurses?

The nurse enters the room to administer medication via the nasogastric tube.  The client is unable to respond verbally.  What is the best way to identify the client?  

The nurse in the Post-Anesthesia Care Unit (PACU) is monitoring several patients who received general anesthesia. Which patient adaptation causes the most concern?   

The nurse is encouraging a reluctant postoperative patient to deep breathe and cough. What explanation can the nurse provide that may encourage the patient to cough more effectively?

A client is admitted to the hospital for hypocalcemia. Nursing interventions related to which system would have the highest priority?  

Which diagnostic study for your client will determine how well blood glucose levels have been controlled over time?