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 59 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
Wow, this really help


nothere

  • Member
  • Posts: 324
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

 

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

Did you know?

Addicts to opiates often avoid treatment because they are afraid of withdrawal. Though unpleasant, with proper management, withdrawal is rarely fatal and passes relatively quickly.

Did you know?

The longest a person has survived after a heart transplant is 24 years.

Did you know?

Fewer than 10% of babies are born on their exact due dates, 50% are born within 1 week of the due date, and 90% are born within 2 weeks of the date.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

For a complete list of videos, visit our video library