HESI RN Med-Surg Respiratory Latest Update

HESI RN Med-Surg Respiratory Latest Update List four common symptoms of pneumonia the nurse might note on physical exam? - ANS-Tachypnea, fever with chills, productive cough, bronchial breath sounds. State 4 nursing interventions for assisting the client to cough productively. - ANS-1. Encourage deep breathing 2. increase fluid intake to 3L/day 3. use humidity to loosen secretions 4. suction airway to stimulate coughing. What symptoms of pneumonia might the nurse expect to see in an older client? - ANSConfusion, lethargy, anorexia, rapid respiratory rate How does the nurse prevent hypoxia during suctioning? - ANS-Deliver 100% O2 (hyperinflating) before and after each endotracheal suctioning. During mechanical ventilation, what are three major nursing interventions? - ANS-1. Monitor client's respiratory status and secure connections 2. establish a communication mechanism with the client 3. keep airway clear by coughing and suctioning When examining a client with emphysema, what physical findings is the nurse likely to see? - ANS-Barrel chest, dry or productive cough, decreased breath sounds, dyspnea, crackles in lung fields. CONTINUES...