A patient diagnosed with a pleural effusion is very dyspneic. With which procedure should the nurse anticipate assisting?
a. Tracheostomy
b. Thoracentesis
c. Bronchoscopy
d. Pericardiocentesis
ANS: B
Thoracentesis can be done by the physician to remove some of the fluid that has collected and is compressing lung tissue. A. Tracheostomy creates a stoma for the placement of an artificial airway. C. Bronchoscopy visualizes the major airways with an endoscope. D. Pericardiocentesis removes fluid from around the heart.
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An older client with a BMI of 33 has hypertension and hyperlipidemia. What should the nurse emphasize when discussing this client's weight and health problems?
a. Considering metabolic surgery for weight loss b. A no-fat diet to decrease fat and cholesterol intake c. Adhering to a low-protein diet to ensure weight loss d. The role of weight loss and exercise in blood pressure regulation
A patient is diagnosed with bilateral osteoarthritis of the knees. To best address the long-term risk for falls, the nurse encourages the patient to
a. use assistive mobility devises when ne-cessary. b. report exacerbation of symptoms promptly. c. add a daily walk to exercise the knees ap-propriately. d. take analgesic medication as prescribed to manage joint pain.
Depending on the severity of the patient's signs and symptoms, management of slow rhythms originating from the AV junction may require intervention including _____
a. defibrillation b. intravenous atropine c. synchronized cardioversion d. vagal maneuvers or adenosine, or both
Which activity would be appropriate to suggest to the client who states that she has difficulty falling asleep every evening?
A) Take a cool shower before bedtime. B) Drink a glass of warm milk before bed. C) Exercise lightly for 30 minutes before sleep. D) Watch television for a few minutes to induce sleepiness.