The nurse knows that a patient with a compromised cardiopulmonary system has a diminished capacity for exercise because of the following: (Select all that apply.)
a. Decreased tissue perfusion
b. Loss of sensation
c. Hemiparesis
d. Diminished respiratory capacity
ANS: A, D
Compromised cardiac function, decreased tissue perfusion, and diminished respiratory capacity directly affect a person's ability to perform activities of daily living (ADLs) and exercise. Hemiparesis and loss of sensation are associated with nervous system disorders.
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The spouse of a recently deceased client is concerned because she has had a backache since the client's death and seems to be more forgetful. The nurse realizes that the client is describing a(n):
a. acute illness and needs to see a physician. b. chronic illness that needs attention. c. dysfunctional grief reactions. d. normal grief reactions.
A parent asks a nurse about giving diphenhydramine [Benadryl] to a child to relieve cold symptoms. Which response by the nurse is correct?
a. "Benadryl must be given in higher doses to provide relief for cold symptoms." b. "Intranasal glucocorticoids are more ef-fective for treating cold symptoms." c. "Nasal antihistamines are more effective for treating cold symptoms." d. "Because histamine doesn't cause cold symptoms, Benadryl would not be effec-tive."
People who have two copies of the same abnormal autosomal dominant gene will usually be
a. More severely affected by the disorder than will people with one copy of the gene b. Infertile and unable to transmit the gene c. Carriers of the trait but not affected with the disorder d. Mildly affected with the disorder
The nurse is planning care for a client and determines that it would be best to utilize the Nursing Outcomes Classification (NOC) when forming client outcomes because:
1. It would be easier than forming outcomes. 2. The NOC looks more professional. 3. The NOC allows better nursing communication. 4. The NOC facilitates data collection.