The nurse is measuring the chest tube drainage. what is considered objective data
1. The nurse is measuring the chest tube drainage. what is considered objective data
Answer:
Measuring the chest tube drainage.
2. Care of patient with chest drainage
Care for Patients with Chest Drainage
There are proper ways to take care of patients that have this condition. See down below:
Keep the tubing free from kinks and occlusions.Check the tubing beneath the patient or pinch between the bed rails.Take some steps to prevent fluid-filled hanging loops that might cause to impede drainage.Keep the CDU at the level of the patient’s chest.Perform proper hand hygiene all the time.What is Chest Drainage?It is also known as underwater sealed drains or UWSD. Chest drains are usually inserted to drain the pleural spaces of the air, blood, and fluid, allowing the lungs to expand and restore the negative pressure.
What causes chest drainage?InflammationInfectionTraumatic injury in an accidentTypes of chest drainage:One-way Heimlich valveAnalog three-container systemsDigital or electronic CDSSimple vacuum bottles for IPC drainageIs it serious about having a chest drain?It is safe with rare, serious complications.
Other information about caring for patients: brainly.ph/question/2098095
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3. Chest tube drainage is performed when the ph of the pleural fluid is:
A parapneumonic effusion with a pleural fluid pH below 7.2 indicates an empyema is forming which necessitates chest tube drainage in all patients, whereas a pleural fluid pH over 7.3 does not require drainage.
4. nuursiNg diagnosis about Nursing care plan?
Answer:
The nursing diagnosis is the nurse's clinical judgment about the client's response to actual or potential health conditions or needs.
5. Nurse marco is developing a plan of care for a client with anorexia nervosa. which action should the nurse include in the plan
Answer:
Establishing a consistent eating plan and monitoring client's weight are important to this disorder
6. The nurse is caring for a client following enucleation to treat an ocular tumor and notes the presence of bright red drainage on the dressing. which action should the nurse take at this time
Answer:Severe pain or pain accompanied by nausea following a cataract extraction is an indicator of increased intraocular pressure and should be reported to the surgeon immediately. Options 2, 3, and 4 are inappropriate actions.
7. what is the health care plan of nurses?
Answer: A nursing care plan (NCP) is a formal process that correctly identifies existing needs and recognizes potential needs or risks. Care plans provide communication among nurses, their patients, and other healthcare providers to achieve health care outcomes.
Explanation: pwede pa brain liest po
AnswerWhat is a nursing care plan? A nursing care plan (NCP) is a formal process that correctly identifies existing needs and recognizes potential needs or risks. Care plans provide communication among nurses, their patients, and other healthcare providers to achieve health care outcomes.8. What is the brief definition of Nursing Care Plan?
Answer:
Nursing Care Plan is a written guide that organizes information about client's into meaningful whole and it is also refered to as the client care plan.
#CarryOnLearning(Don't copy answers)
9. The nurse is planning care for a client with hyperthyroidism. which of the following nursing interventions are appropriate
Answer:
it will you teach us how to do you a little more and
10. The nurse is planning to administer an intermittent enteral feeding through an ng tube. which intervention should the nurse implement
Answer:
hope it helps carry on learninghope it helps carry on learning
Explanation:
hope it helps carry on learninghope it helps carry on learning
hope it helps carry on learninghope it helps carry on learninghope it helps carry on learning
11. The nurse is caring for a client with a severe burn who is scheduled for an autograft to be placed on the lower extremity. the nurse develops a postoperative plan of care for the client and should include which intervention in the plan
Question :
The nurse is caring for a client with a severe burn who is scheduled for an autograft to be placed on the lower extremity. the nurse develops a postoperative plan of care for the client and should include which intervention in the plan :
Answer :Rationale-Autographs placed over joints or on lower extremities are elevated and immobilized following surgery for 3 to 7 days, depending on the surgeon's preference. This period of immobilization allows the autograft time to adhere and attach to the wound bed, and the elevation minimizes edema. Keeping the client in a prone position and covering the extremity with a blanket can disrupt the graft site.
12. A practical nurse is collaborating with the registered nurse to form a care plan for a client diagnosed with placenta previa at 33 weeks gestation. What does the nurse anticipate being included in the plan of care? Select all that apply.
Answer:
-Nonstress test 1 or 2 times a week
- Prepare for cesarean birth at any time
- Type and screen blood
13. The nurse cares for a patient with a possible bowel obstruction. a nasogastric tube is to be inserted. before inserting the tube, the nurse explains its purpose to the patient. which of the following explanations made by the nurse is most accurate
Answer:
The nurse cares for a patient with a possible bowel obstruction. a nasogastric tube is to be inserted. before inserting the tube, the nurse explains its purpose to the patient. which of the following explanations made by the nurse is most accurate
14. The nurse is developing a plan of care for the client with multiple myeloma. the nurse includes which priority intervention in the plan of care
Answer:
The nurse is developing a plan of care for the client with multiple myeloma and includes which priority intervention in the plan? 1. Encouraging fluids
Explanation:
Encouraging fluids
15. In caring for the child with asthma, the nurse recognizes that which nursing diagnosis would be the highest priority in this child's plan of care
Answer:highest priority in this child's planExplanation:haha
16. example of nursing care plan for hyperacidity
Answer:
risk for aspiration
deficient knowledge
imbalance nutrition
17. Which of these nursing actions included in the plan of care for a patient with cirrhosis can the nurse delegate to a nursing assistant?
Nursing Assistant
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Answer:Use a pressure - relieving mattress.[tex] \huge\red{\overline{\quad\quad\quad\quad\quad\quad\quad\quad\quad \ \ \ }}[/tex]
Explanation:The pressure - relieving mattress will decrease the risk for skin breakdown for this patient.[tex] \huge\red{\overline{\quad\quad\quad\quad\quad\quad\quad\quad\quad \ \ \ }}[/tex]
#Hope it Helps!
18. The nurse caring for a client who had spinal anesthesia will ensure that plan of care includes
Answer:
A) administering oxygen to reduce the hypoxia produced by spinal anesthesia.
19. A nurse is caring for a client immediately after removal of the endotracheal tube. the nurse reports which of the following signs immediately if experienced by the client
Answer:
thank you for the points
20. The nurse is caring for a patient who is postoperative from having a gastrostomy tube placed. what should the nurse do on a daily basis to prevent skin
The nurse should wash the area around the tube with soap and water daily. Infection can be prevented by keeping the skin near the insertion site clean using soap and water. Hydrogen peroxide is not used, due to associated skin irritation. The skin around the site is not irrigated with normal saline and antibiotics are not administered to prevent site infection.
21. Nursing care plans for cerebral hematoma
The primary nursing care plan goals for patients with stroke depend on the phase of CVA the client is in. During the acute phase of CVA, efforts should focus on survival needs and prevent further complications. Care revolves around efficient continuing neurologic assessment, support of respiration, continuous monitoring of vital signs, careful positioning to avoid aspiration and contractures, management of GI problems, and monitoring of electrolyte and nutritional status. Nursing care should also include measures to prevent complications.
Listed below are 12 nursing diagnoses for stroke:
Risk for Ineffective Cerebral Tissue Perfusion
Impaired Physical Mobility
Impaired Verbal Communication
Acute Pain
Ineffective Coping
Self-Care Deficit
Risk for Impaired Swallowing
Activity Intolerance
Risk for Unilateral Neglect
Deficient Knowledge
Risk for Disuse Syndrome
Risk for Injury
Other Nursing Diagnosis
22. The nurse assigned to care with sle nurse plans care knowing this disorder is
Answer:
Which interventions would apply in the care of a client at high risk for an allergic response to a latex allergy. Select all that apply.
23. The nurse is caring for a male client postoperatively following creation of a colostomy. which nursing diagnosis should the nurse include in the plan of care
Answer:
the client's Glasgow Coma Scale goes from 13 to 7# I HOPE ITS HELP
24. The nurse plan of care of a client diagnosed with folliculitis
bye bye mate i need your pint
Explanation:
bye bye
25. When the client is noted to have excessive hair on her face and chest the nurse plans for the evaluation of?
Answer:
Blanch times that are greater than 2 seconds may indicate: Dehydration. Hypothermia.
26. examples of Nursing care plan
explanation
hope it helps
27. When planning nursing care for a client with trigeminal neuralgia the nurse should specifically?
The paroxysms of pain that accompany this neuralgia are triggered by stimulation of the terminal branches of the trigeminal nerve. Symptoms can be triggered by pressure from washing the face, brushing the teeth, shaving, eating, or drinking. Symptoms also can be triggered by thermal stimuli, such as a draft of cold air. The remaining options are incorrect
28. Family nursing care plan sample by maglaya
Answer:
Alam kong uto-uto ako, alam ko na marupok
Tao lang din naman kasi ako
May nararamdaman din ako, 'di kasi manhid na tulad mo
Alam kong sanay bumitaw ang isang tulad mo, lalayo na ba ako?
Pa'no naman ako? Nahulog na sa 'yo
Binitawan mo lang ba talaga ako?
Pa'no naman ako? Naghintay nang matagal sa 'yo
Wala lang ba talaga lahat ng 'yon sa 'yo?
Ano na ba'ng gagawin ko?
29. Evaluation about NANDA Nursing care plan?
Answer:
Monitoring (and documenting) the patient's status and progress towards goals, and modifying the care plan as needed.
Explanation:
COPD is a condition of chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate. Here are 5 Nursing Care Plans for COPD
30. The nurse is caring for a client with bronchiectasis. chest auscultation reveals the presence of copious secretions. what intervention should the nurse prioritize in this client's care
Answer:
C.)Postural chest drainage
Explanation:
Postural drainage is part of all treatment plans for bronchiectasis, because draining of the bronchiectatic areas by gravity reduces the amount of secretions and the degree of infection. Diuretics and IV fluids will not aid in the mobilization of secretions. Lung function testing may be indicated, but this assessment will not relieve the patient's symptoms.
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