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The nurse teaches a patient about pursed lip breathing. Which action by the patient would indicate to the nurse that further teaching is needed? The patient practices by blowing through a straw. The patient's ratio of inhalation to exhalation is 1:3. The patient inhales slowly through the nose. The patient puffs up the cheeks while exhaling. - 4 A 55-year-old patient with increasing dyspnea is being evaluated for a possible diagnosis of chronic obstructive pulmonary disease (COPD). When ...

During a preoperative physical exam, the nurse is alerted to the possibility of respiratory function during or after surgery in the patient with - obesity when the nurse is performing a physical exam of a client who smokes and v.... on the day of surgery, it is especially important to - auscultate for normal and adventitious breath sounds the nurse asks a hospitalized client to sign the operative permit as directed in the hear...preop orders. The client tells the nurse, "i don't really un...

What are the steps in Noticing - (I) Identifying Signs and Symptoms (G) Gathering complete and accurate data (A) Assessing systematically and comprehensively (P) Predicting and managing potential complications (I) Identifying assumptions What are the steps in interpreting - (C) Clustering related information (R) Recognizing inconsistencies (C) Checking accuracy and reliability (D) Distinguishing relevant from irrelevant (D) Determining the importance of information (C) Comparing an...

You are doing a group teach at a community health about cancer prevention and detection. What points would you include in this teaching? (4 SATA) - Applying sunscreen to the top of the ears, having moles checked if they are different colors or have color around them, reporting a change in bowl or bladder habits, and reporting a cough that just won't go away. Which activities will the nurse complete by collaborating with the patient? (2 SATA) - Planning health promotion activities, planning...

Nurse admits patient to med surg unit. Resp rate of 38. Patient using chest muscles to breathe, pulse ox of 87 on room air, pink frothy sputum. What intervention would you implement first? - O2 at 2 Liters/Min Caring for pt. who is intubated and receiving mechanical ventilation. What action by the nurse would decrease the patient's incidence of developing ventilator associated pneumonia? - Put head of bed at 30-45 degrees. The nurse is administering acetylcysteine (muca-mist) as nebulizer...

RN delegating to LPN. Which would you be able to do within your scope of practice? - Insert IV in 45 year old rating pain 10/10 about to go to the Cath lab Nurse taking care of male patient with burns over 50% of body. Pt. has been in ER for 20 minutes. The nurse would take which action first? - Hang 10 CC's Lactated Ringers Patient is a 25 year old admitted to ER. O2 stat of 89 and resp of 86. Unresponsive to stimuli. Nurse anticipates administration of which medication? - Naloxone (Narca...

Why do we use TPN for patient? - To allow gut to rest and heal Patient is on TPN and Lasix which lab value do we check? - K+ How do we confirm malignant cancer? - Biopsy What are Antineoplastic medications used for? - Cancer drugs What should you teac

What is the most common cause of renal failure? - DM -accounts for more than 40% of new cases Sometime a pt already on a heparin drip may be placed on Coumadin at the same time. Why? - Because it takes several days for Coumadin to reach therapeutic level What would you teach a patient at home on Coumadin and hep drip? - limited intake of foods high in vitamin K How should we give nitroglycerin tablets? - 3 tablets sublingual q5mins; after 3rd dose, call 911 What are the side effects of Las...

The nurse is assisting in implementing care plan for a patient with dementia. Which interventions would you expect to see? (SATA) - Keep a large clock and calendar in view, reduce distractions during meal times, reduce exposure to over-stimulating situations, and monitor weight regularly for changes. Nurse is caring for a patient with type 1 diabetes. Which indicates need for further assessment? - "My dad and his dad had pancreatic cancer" Which of the following indicates that teaching on...

Who creates the National Patient Safety Goals? - The Joint Commission What organization promotes workplace safety? - OSHA What does OSHA stand for? - Occupational Safety and Health Administration Who are at risk for falls? - Older adults, post-op, people with vertigo What types of things place people at risk for falls? - History of falls, parkinson's, visually impaired, medications, difficulty walking What do we do that can increase someones risk of falls? - Not putting call light in reac...

examine the principle of ethical decision making - do I know pt values, morals, situations what are my assumptions that require more knowledge do my values conflict with the patient with my obligation to pt, what should I do to be ethical identify the rights of clients in the healthcare system - informed consent right to refuse patients get treated with integrity explain how the nurse protects patients right across the lifespan - using 2 identifiers to identify pt explain procedure and g...

The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary incontinence and contributing factors in daily life is. A) the interviewB) a voiding diaryC) the physical examD) the patient's response to non-pharmacologic treatment - B) a voiding diary The nurse practitioner is counseling a 57 year-old patient with urinary incontinence. The patient desires to try non-pharmacological, non-invasive methods of treatment at this time. Which of the following should be...

Which STI is confirmed with the Western Blot? - HIV Which 2 STI's are treated with metronidazole 500mg BID for 7 days? - Bacterial Vaginosis and Trichomoniasis Which STI present with clue cells on a saline wet mount - Bacterial vaginosis Which STI is treated with 2 grams of metronidazole as a single dose? - Tricomoniasis What is the screening test for HIV? - EIA or Elisa What is the confirmed test used after a positive EIA oe ELISA test for HIV? - Western Blot What are the option for med...

The nurse practitioner knows that a highly valuable assessment tool for evaluating urinary incontinence and contributing factors in daily life is: - A voiding dairy The nurse practitioner is counseling a 57-year-old patient with urinary incontinence. The patient desires to try non-pharmacological, non-invasive methods of treatment at this time. Which of the following should be included in the patient's plan of care? (Select all) - Bladder training Kegel exercises Eliminate caffeine and al...

Jacob, a 33-year-old construction worker, complains of a "lump on his back" over his scapula. It has been there for about a year and is getting larger. He says his wife has been able to squeeze out a cheesytextured substance on occasion. He worries this may be cancer. When gently pinched from the side, a prominent dimple forms in the middle of the mass. What is most likely? - sebaceous cyst A new patient is complaining of severe pruritus that is worse at night. Several family members also h...

Objective data related to the male GU system would include which of the following? - Firm enlarged prostate Bulging noted in the inguinal area in a male patient is most likely to be which of the following? - Hernia Self-testicular exams should be performed how frequently in males less than age 40? - Once a month Objective findings in the older male patient may include which of the following? - Prostatic Hypertrophy Which of the following is a symptom of benign prostatic hyperplasia? - Noc...

which of the following is the most important question to ask during cardiovascular health history - sudden death of a family member a key symptom of ischemic heart disease is chest pain. However, angina equivalents may include exertional dyspnea. Angina equivalenstare important because - A and B (Women with ischemic heart disease/some patients may have no symptoms) A 55 year old post menopausal woman with a history of hypertension complains of jaw pain on heavy exertion. There were no comp...

A 65-year-old patient remarks that she just can't believe that her breasts sag so much. She states it must be from lack of exercise. What explanation should the nurse offer her? - After menopause, the glandular and fat tissue atrophies, causing breast size and elasticity to diminish, resulting in breast that sag The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying? - the first sign of puberty is enlargement of the testes A ...

According to Neinstein, all stages of adolescent psychosocial development revolve around issues with independence/dependence, body image concerns, peer group involvement, and identity development. During which stage are eating disorders most likely to surface? - middle adolescence (14 to 16) Iris is a thirty-two-year-old married woman with three children. She comes in for information on using the copper T intrauterine device (IUD) for contraception. Which of the following would be a contra...

A 14-year-old junior high school student is brought in by his mother and father because he seems to be developing breasts. The mother is upset because she read on the Internet that smoking marijuana leads to breast enlargement in males. The young man adamantly denies using any tobacco, alcohol, or drugs. He has recently noticed changes in his penis, testicles, and pubic hair pattern. Otherwise, his past medical history is unremarkable. His parents are both in good health. He has two older br...