Answer to Question 1
A, D
Acute pulmonary edema (acute left ventricular failure) is a medical emergency that must be treated promptly. The patient with this condition has severe dyspnea; a cough productive of fro-thy, pink-tinged sputum; tachycardia; and moist, bubbling respirations with cyanosis. Nursing interventions for acute pulmonary edema include placing the patient in high Fowler position to relieve the dyspnea; administering oxygen, diuretics, morphine, and other prescribed drugs; li-miting and monitoring activity; and assessing cardiopulmonary status. Limiting activity and placing the patient in high Fowler do not require a physician's order and should be implemented immediately. Acute pulmonary edema is a medical emergency, and activity necessary to obtain a daily weight is not indicated at this time. Administering morphine and diuretics are dependent nursing interventions.
Answer to Question 2
B
Cold application to the surgical site applies the best independent intervention. Dimming the lights may also help to create a more comfortable environment. Administering an analgesic and irrigating the drainage tube are interventions that require a physician's order.
When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Differences between a Nurse Practitioner
nursing process
Position of patient to assess jugular vein distention
An ultrasound being performed on a patient.