The nurse is preparing to admit a client with severe respiratory ...

[arivle123]

The nurse is preparing to admit a client with severe respiratory acidosis who is diagnosed with acute pneumonia. The nurse anticipates that one treatment for this client may be which of the following?
 
  1. Administration of digoxin for heart failure
   2. Mechanical ventilation
   3. Fluid restriction
   4. Regular diet

Question 2

Which goal is most correctly stated?
 
  a. The nurse will give the patient a back rub to relieve pain.
  b. The patient will have less pain.
  c. The patient will plan a day's meals for a 1,000 mg sodium diet by Friday.
  d. The patient understands his illness.

[SamMuagrove]

Answer to Question 1

2. Mechanical ventilation

Rationale:
The client with acute pneumonia and severe respiratory acidosis will most likely be placed on mechanical ventilation. There is not enough evidence to know whether or not the client is experiencing heart failure as a result of the acute pneumonia. Fluids would likely be increased to thin secretions. The client with severe respiratory acidosis will likely be NPO as the respirations will be rapid and shallow.

Answer to Question 2

C
An expected outcome is a description of the favorable patient status that is achieved when a prob-lem-focused nursing diagnosis has been resolved or positive adaptation has been enhanced. Clearly written outcome statements stipulate the patient's expected behavior or function within a specified time frame, rather than what the nursing interventions will accomplish. Some outcome statements require qualifiers or the conditions involved with the patient's activity.