This topic contains a solution. Click here to go to the answer

Author Question: A trauma client has experienced a ruptured diaphragm. The nurse would anticipate that this client ... (Read 62 times)

Themember4

  • Hero Member
  • *****
  • Posts: 538
A trauma client has experienced a ruptured diaphragm. The nurse would anticipate that this client will have difficulty:
 
  1. with an elevated oxygen level.
  2. primarily during exhalation.
  3. maintaining a high enough respiratory rate.
  4. carrying out the respiratory cycle.

Question 2

The father of a 3-year-old states, He isn't current on his immunizations. I have full custody of him now, but I don't know what he needs. Which nursing diagnoses would the nurse choose for this situation?
 
  Standard Text: Select all that apply.
  1. Caregiver Role Strain
  2. Coping, Ineffective
  3. Knowledge, Deficient
  4. Health Maintenance, Ineffective



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Natalie4ever

  • Sr. Member
  • ****
  • Posts: 335
Answer to Question 1

Correct Answer: 4
Rationale 1: The oxygen level would be low because of inadequate ventilation.
Rationale 2: Both inhalation and exhalation would be impaired.
Rationale 3: The client's chest will be unable to move adequately, and the respiratory rate will increase in an effort to increase oxygenation.
Rationale 4: Contraction and relaxation of the diaphragm are essential to the ventilation segment of the respiratory cycle.
Global Rationale: Ventilation is the process of moving air into and out of the lungs. As the diaphragm contracts and lowers in position, it creates a negative pressure that draws air into the lungs and inspiration occurs. During expiration the diaphragm relaxes and air leaves the lungs passively. The oxygen level would be low because of inadequate ventilation. Both inhalation and exhalation would be impaired. The client's chest will be unable to move adequately, and the respiratory rate will increase in an effort to increase oxygenation.

Answer to Question 2

Correct Answer: 3, 4
Rationale 1: There is no evidence that this father has Caregiver Role Strain.
Rationale 2: There is no evidence of Ineffective Coping in this situation.
Rationale 3: The father admits that he does not know which immunizations are required.
Rationale 4: The child currently has this risk but will soon drop this diagnosis as immunizations are brought up to date.
Global Rationale: Common nursing diagnoses associated with immunization include Deficient Knowledge (Vaccination Schedule, recommendations), Ineffective Health Maintenance, related to failure to complete immunization schedule, and Risk for Injury, related to adverse drug effects. There is no evidence of Caregiver Role Strain or Ineffective Coping.




Themember4

  • Member
  • Posts: 538
Reply 2 on: Jul 23, 2018
Excellent


momolu

  • Member
  • Posts: 320
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

The top 10 most important tips that will help you grow old gracefully include (1) quit smoking, (2) keep your weight down, (3) take supplements, (4) skip a meal each day or fast 1 day per week, (5) get a pet, (6) get medical help for chronic pain, (7) walk regularly, (8) reduce arguments, (9) put live plants in your living space, and (10) do some weight training.

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

Did you know?

Increased intake of vitamin D has been shown to reduce fractures up to 25% in older people.

Did you know?

Excessive alcohol use costs the country approximately $235 billion every year.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

For a complete list of videos, visit our video library