Which statement made to the home care nurse, by the client with severe COPD indicates a need for further discussion about management of secretions?
A. "I have been drinking at least 3 quarts of water or juice each day."
B. "When I cough, I lay on my side so I don't swallow the secretions."
C. "My wife uses a vibrator on my back and sides to shake the mucus loose."
D. "Even though it smells bad, I use the acetylcysteine nebulizer 3 times each day."
B
When the client can tolerate it, the best position for effective coughing and secretion removal is sitting with the shoulders turned inward and the head bent slightly down while hugging a pillow.
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The nurse uses a diagram to show the location of meridians. How will the nurse explain the definition of meridians?
a. They are lymph nodes. b. They are invisible pathways for energy. c. They are lines that divide the body into 10 zones. d. They are areas of skin that are specifically innervated.
Human chorionic gonadotropin (hCG) is an important biochemical marker for pregnancy and therefore the basis for many tests. A maternity nurse should be aware that:
a. hCG can be detected as early as 2½ weeks after conception. b. The hCG level increases gradually and uniformly throughout pregnancy. c. Much lower than normal increases in the level of hCG may indicate a postdate pregnancy. d. A higher than normal level of hCG may indicate an ectopic pregnancy or Down syndrome.
Which describe the feelings and behaviors of adolescents related to divorce? (Select all that apply.)
a. Disturbed concept of sexuality b. May withdraw from family and friends c. Worry about themselves, parents, or siblings d. Expression of anger, sadness, shame, or embarrassment e. Engage in fantasy to seek understanding of the divorce
A nurse is making an appointment with a family for a nursing visit. Which of the following best describes a barrier that the nurse may experience when trying to schedule this appointment?
a. The assessment cannot be done unless the extended family is present. b. It may be difficult to find a convenient time for all family members to be present. c. Nurses have limited time to do home vis-its. d. Families are often scattered over a large area, making access difficult.