The patient has advanced emphysema and complains of dyspnea and ...

[fahad]

The patient has advanced emphysema and complains of dyspnea and fatigue. What would the most appropriate nursing intervention be for the nursing diagnosis of Activity intolerance related to an imbalance between the oxygen supply and demand?
 
  a. Direct patient in vigorous independent ROM.
  b. Allow to exercise until respirations are over 20 breaths/min over baseline.
  c. Plan care to provide optimum rest.
  d. Provide frequent cool showers.

Question 2

After an influenza-like illness, the patient complains of chills and small petechiae in his mouth and his legs. A heart murmur is detectable. These are characteristic signs of:
 
  a. congestive heart failure.
  b. heart block.
  c. aortic stenosis.
  d. infective endocarditis.

[meryzewe]

Answer to Question 1

ANS: C
Nursing interventions will be directed at attempting to decrease the patient's anxiety and promote optimal air exchange. The nurse should allow sufficient rest periods and should assist the patient in activities of daily living.

Answer to Question 2

ANS: D
Collection of subjective data includes noting patient complaints of influenza-like symptoms with recurrent fever, undue fatigue, chest pain, and chills. Objective data may reveal the significant signs of petechiae in the conjunctiva and mouth. Both subjective data and objective data are indicative of infective endocarditis.