The nurse supervises unlicensed assistive personnel (UAP) who are ...

[ss2343]

The nurse supervises unlicensed assistive personnel (UAP) who are providing care for a patient with right lower lobe pneumonia. The nurse should intervene if which action by UAP is observed?
 
  a. UAP splint the patient's chest during coughing.
  b. UAP assist the patient to ambulate to the bathroom.
  c. UAP help the patient to a bedside chair for meals.
  d. UAP lower the head of the patient's bed to 15 degrees.

Question 2

A patient with pneumonia has a fever of 101.4 F (38.6 C), a nonproductive cough, and an oxygen saturation of 88. The patient complains of weakness, fatigue, and needs assistance to get out of bed.
 
  Which nursing diagnosis should the nurse assign as the highest priority?
  a. Hyperthermia related to infectious illness
  b. Impaired transfer ability related to weakness
  c. Ineffective airway clearance related to thick secretions
  d. Impaired gas exchange related to respiratory congestion

[brittanywood]

Answer to Question 1

ANS: D
Positioning the patient with the head of the bed lowered will decrease ventilation. The other actions are appropriate for a patient with pneumonia.

Answer to Question 2

ANS: D
All these nursing diagnoses are appropriate for the patient, but the patient's oxygen saturation indicates that all body tissues are at risk for hypoxia unless the gas exchange is improved.

[ss2343]

Correct answers!

[brittanywood]

Great! Please up vote