Author Question: A client with terminal cancer of the lung complains of being short of breath with bilateral crackles ... (Read 102 times)

danielfitts88 · **on:** Jul 22, 2018

A client with terminal cancer of the lung complains of being short of breath with bilateral crackles and wheezes, despite oxygen at 4 liters per minute via nasal cannula and diuretic therapy.

What nursing interventions are appropriate for this client? (Select all that apply.) 1. Move the client to a room closer to the nurse's desk for closer observation
2. Help the client assume a position lying on the right side
3. Place a fan in the room to move air around the client
4. Change the client's oxygen therapy to a nonrebreathing mask
Elevate the head of the client's bed to a Fowler's position

Question 2

The new graduate nurse is beginning work at a local hospital. The nurse plans to continue to develop which competency so that safe care is provided to clients?

1. Functioning as a member of the health care team.
2. Reporting families for bringing food to the client's room.
3. Promoting appropriate values that clients should adopt.
4. Creating a culture of trust within the hospital.

zoeyesther · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Place a fan in the room to move air around the client
5 Elevate the head of the client's bed to a Fowler's position

Rationale:
Placing a fan to circulate air, elevating the head of the bed, and using morphine sulfate may relieve the client's shortness of breath. Moving the client who is short of breath is not advisable. Lateral positions are appropriate for unconscious clients, but this client is conscious. Conscious clients who are short of breath do not tolerate oxygen therapy by mask.

Answer to Question 2

1. Functioning as a member of the health care team.

Rationale:
New nurses should learn about the health care team members and determine whom to collaborate with in certain situations. Rather than reporting families, the nurse would work with the family to help meet their needs if food is not allowed in the room. The nurse would respect the values of clients and not seek to impose any on the clients. Creating a culture of trust is a system change that is implemented by the administration.