A nurse is caring for a patient with COPD who is in recovery for ...

[Kthamas]

A nurse is caring for a patient with COPD who is in recovery for a myocardial infarction. Which of the following nursing actions is the priority?
 
  a. Place the patient on continuous cardiac monitoring.
  b. Put the patient on 6 L/min of oxygen via nasal cannula.
  c. Deep suction the patient every 2 hours.
  d. Assess bilateral lung sounds every hour.

Question 2

A 76-year-old client has just been admitted to the nursing unit with terminal cancer of the liver. Which of the following is the best response for the nurse who is assessing the client's spiritual needs?
 
  a. I notice you have a Bibleis that a source of spiritual strength to you?
  b. What do you believe happens to your spirit when you die?
  c. We would allow members of your church to visit you whenever you desire.
  d. Has your terminal condition made you lose your faith or beliefs?

[wfdfwc23]

Answer to Question 1

A
A patient who has a recent myocardial infarction can convert back to a deadly rhythm and needs to be placed on continuous cardiac monitoring. The patient has COPD and should not be placed on oxygen over 4 L/min. Proper cardiac functioning will allow oxygenated blood to be distributed to tissues. Patients with recent myocardial infarction should not be suctioned. This patient does not have any indicators to warrant hourly assessment of lung fields.

Answer to Question 2

A
Stating the observation of the client having a Bible opens communication regarding the client's source of strength. Assessing a client's sources of strength and faith can direct interaction with him or her, including medical treatment plans.
What do you believe happens to your spirit when you die? is not the best response, as it does not provide information that would assist the nurse in meeting the client's spiritual needs.
We would allow members of your church to visit you whenever you desire is not the best re-sponse, as it implies that the client goes to church or should go to church, and assumes that church members are a source of strength for the client. It does not provide assessment infor-mation to determine the client's spiritual needs.
Has your terminal condition made you lose your faith or beliefs? is not the best response. It has a negative connotation and does not assess the client's sources of strength or the beliefs of the client.

[Kthamas]

TY

[wfdfwc23]

You're welcome