A nurse is reviewing a patient’s asthma treatment plan based…

A nurse is reviewing a patient’s asthma treatment plan based on the Global Initiative for Asthma (GINA) guidelines. The nurse is aware that GINA guidelines emphasize the importance of “stepping up” or “stepping down” medications to manage asthma effectively. Which of the following actions would be most appropriate when an asthma patient’s symptoms are well-controlled and there have been no recent exacerbations for at least 3 months?

A patient arrives on the medical-surgical unit after an open…

A patient arrives on the medical-surgical unit after an open partial hepatectomy and total splenectomy. Her vitals are: BP 118/77, HR 70, T 98.2F (oral), RR 14. An hour later, her vitals are: BP 100/50, HR 89, T 97.1F (oral), RR 19. She is sleeping restfully with good pain control. The next hour, her skin is cool, clammy, and pale and her vitals are: BP 80/41, HR 122, T 96.6F (oral), RR 28.  The nurse recognizes this patient is deteriorating. What type of shock is this patient experiencing?

After an automobile accident, a patient recovering in the ho…

After an automobile accident, a patient recovering in the hospital has been diagnosed with two fractured ribs. They’ve been medicated for pain, but they’re suppressing their cough and haven’t been out of bed today. What interventions should the nurse implement to avoid potential infection for the patient with fractured ribs.