Author Question: A patient admitted with an acute exacerbation of chronic obstructive pulmonary disease has a nursing ... (Read 42 times)

@Brianna17 · **on:** Jul 23, 2018

A patient admitted with an acute exacerbation of chronic obstructive pulmonary disease has a nursing diagnosis of Activity Intolerance. Which type of bath is preferred for this patient?

a. Tub bath
b. Complete bed bath
c. Towel bath
d. Bed bath

Question 2

The nurse is assessing the level of consciousness of a client who suffered a head injury. She uses the Glasgow Coma Scale and determines that the client's score is 15 . Which responses did the nurse assess in this client? Select all that apply.

a. Spontaneous eye opening
b. Tachypnea, bradycardia, and hypotension
c. Unequal pupil size
d. Orientation to person, place, and time
e. Motor response to pain localized

Anton · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
A towel bath is a modification of the bed bath, in which a large towel and a bath blanket are placed in a plastic bag and saturated with a commercially prepared mixture of moisturizer, nonrinse cleaning agent, and water. The bag and its contents are then placed in the microwave, and they are used to bathe the patient. This bathing method is preferred for patients who have Activity Intolerance. A tub bath, complete bed bath, and conventional bed bath may deplete this patient's energy.

Answer to Question 2

A, D, E
The Glasgow Coma Scale assesses level of consciousness by testing and scoring three observations: eye opening, motor response, and verbal stimuli response. Clients are scored on their best responses and these scores are totaled. The highest score is 15 . The highest responses in these three categories are spontaneous eye opening, obeying motor commands, and orientation to time, place, and person.