A nursing student is writing a care plan for a client ...

[geodog55]

A nursing student is writing a care plan for a client hospitalized with pneumonia. Her priority nursing diagnosis is ineffective airway clearance. Which intervention should the nursing student include?
 
  A) Administration of the pneumococcal vaccine
  B) Smoking cessation education
  C) Limit fluid intake
  D) Chest percussion

Question 2

While walking in an assisted living facility an older patient falls. Which assessment finding indicates to the nurse that the patient has sustained a hip fracture?
 
  1. Pain relieved by moving the affected extremity
  2. Redness, tenderness, and severe swelling at the hip joint
  3. Position with the injured leg shortened and externally rotated
  4. Bending the injured leg at the knee and internally rotating the leg

[amandalm]

Answer to Question 1

D

Answer to Question 2

3
Rationale: With a fractured hip any movement of the leg is likely to cause severe muscle spasms and pain.