A 61-year-old patient is admitted to the hospital with pneumonia

A 61 year-old patient is admitted to the hospital with pneumonia. The patient has decreased air entry to bilateral lung bases. An appropriate nursing diagnosis for the patient is:
A)   Ineffective airway clearance related to secretions
B)   Pneumonia related to disease process
C)   Poor ventilation related to infection
D)   Immobility related to fatigue


The nurse is caring for a older adult patient with a fractured hip. The patient is combative and confused, and is now trying to get out of bed. The nurse should do which of the following?
A)   Administer IM antipsychotics
B)   Enlist a family member to accompany the patient
C)   Read the facility's policy on restraints
D)   Order soft restraints from the storeroom