AH, Adult health 1 study guide, ADULT HEALTH D444

Pneumonia signs and symptoms

* Altered mental status (restlessness, agitation, confusion)\n* Fever (over 100.4F/38C)\n* Productive cough (yellow sputum/phlegm)\n* Fine or coarse crackles/wheezing\n* Dyspnea\n* Pleuritic chest pain (sharp pain when coughing; report to HCP)\n* Low 02 saturation\n* Congested breath sounds with weak cough effort\n* Oxygen saturation of 94% on room air

The client with Clostridium diff in the stool receives a prescription for vancomycin PO. Which action should the nurse take before administering the first dose?

Check serum creatinine.

The client is a 51-year-old male with pneumonia. The client has a history of hypertension and takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4- years and a surgical repair of a fractured tibia at age 20. The nurse is preparing to set up the oxygen administration and apply a simple face mask. What should the nurse do before applying the face mask? Select all that apply.

* Perform hand hygiene\n* Identify the client using Z client identifiers\n* Check the skin around the face\n* Don gloves\n* Assess respiratory function

A teenage client is admitted to the emergency department following a bee sting. The client arrives with a body rash and 30 minutes later becomes short of breath. The nurse obtains the client's vital signs as a heart rate of 130 beats/minute, respirations of 40 breaths/minute, and a blood pressure of 90/52 mm Hg. The client is exhibiting clinical manifestations of which type of immune reaction?

IgE response hypersensitivity.

The nurse is planning to care for a client with a direct (sliding) hiatal hernia. Nursing actions should be planned to meet which goal?

Prevent esophageal reflux.

The patient is a 51-year-old male with pneumonia. The patient has a history of hypertension and takes enalapril and a multivitamin daily. His surgical history includes adenoid removal at age 4 and a surgical repair of a fractured tibia at age 20. Based on the information that the nurse has about the patient, what condition is he likely to have?

Pneumonia.

A client has been administered lactulose for several days. Which therapeutic response should the nurse expect for a client with hepatic encephalopathy?

Improved cognitive function and mental status.

The healthcare provider prescribes Bismuth subsalicylate, metronidazole, tetracycline, and pantoprazole for a client with a Helicobacter pylori infection. Prior to administering the H. pylori treatment regimen, the nurse should review the electronic medical record for which medication?

Aspirin (NSAID).

A client diagnosed with chronic obstructive pulmonary disease (COPD) receives a new prescription for an ipratropium inhaler. Which action indicates to the nurse that additional teaching is needed?

Primes the inhaler with 7 pumps.