Author Question: A nurse is caring for a patient who has orthopnea. What action by the nurse is most appropriate? ... (Read 32 times)

sarasara · **on:** Jul 23, 2018

A nurse is caring for a patient who has orthopnea. What action by the nurse is most appropriate?

a. Encourage deep breathing and coughing.
b. Medicate the patient for pain as needed.
c. Keep the head of the bed elevated.
d. Monitor the length of time the patient doesn't breathe.

Question 2

The nursing faculty member is observing a student taking a patient's carotid pulse. What action by the student requires intervention by the faculty member?

a. Counts pulse for 30 seconds and multiplies by two.
b. Performs hand hygiene prior to patient contact.
c. Compares pulses in both carotid arteries at the same time.
d. Assesses pulse on one side then assesses the other side.

Pariscourtney · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
Orthopnea is difficulty breathing in positions other than sitting up. To assist the patient who has orthopnea, the nurse keeps the head of the bed elevated to ease breathing.

Answer to Question 2

ANS: C
The carotid arteries are the main supply route of blood to the brain. Compressing both sides of the carotid arteries at the same time can lead to ischemia. The other actions are appropriate.