Author Question: Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ... (Read 68 times)

aabwk4

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Following assessment of a patient with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis?
 
  a. Weak, nonproductive cough effort
  b. Large amounts of greenish sputum
  c. Respiratory rate of 28 breaths/minute
  d. Resting pulse oximetry (SpO2) of 85

Question 2

What glomerular filtration rate (GFR) would the nurse estimate for a 30-year-old patient with a creatinine clearance result of 60 mL/min?



nhea

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Answer to Question 1

ANS: A
The weak, nonproductive cough indicates that the patient is unable to clear the airway effectively. The other data would be used to support diagnoses such as impaired gas exchange and ineffective breathing pattern.

Answer to Question 2




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