While collecting data a patient expectorates pink frothy sputum. Which health problem should the nurse consider is occurring in this patient?
a. Gastritis
b. Pneumonia
c. Heart failure
d. Hepatic failure
ANS: C
Pink, frothy sputum is an indicator of acute heart failure. A. B. D. Pink frothy sputum is not associated with gastritis, pneumonia, or hepatic failure.
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In the United States the en face position is preferred immediately after birth. Nurses can facilitate this process by all of these actions except:
a. Washing both the infant's face and the mother's face. b. Placing the infant on the mother's abdomen or breast with their heads on the same plane. c. Dimming the lights. d. Delaying the instillation of prophylactic antibiotic ointment in the infant's eyes.
A woman who is 32 weeks pregnant telephones the nurse at her obstetrician's office and complains of constant backache. She asks what pain reliever is safe for her to take. The best nursing response is
a. "Back pain is common at this time during pregnancy because you tend to stand with a sway back." b. "Acetaminophen is acceptable during pregnancy; however, you should not take aspirin." c. "You should come into the office and let the doctor check you." d. "Avoid medication because you are pregnant. Try soaking in a warm bath or using a heating pad on low before taking any medication."
The nurse has just completed a care plan on a visually impaired client. Which of the following interventions is most appropriate for this client?
a. Stand away from the client when communicating to not obstruct the view of the immediate environment. b. Provide the client with reading material that has all capital letters. c. Verbally explain all written information while discouraging the client from asking questions. d. Ensure the client's room has bright lighting with no glare.
The people of the United States depend on many agencies working under the leadership of the U.S. Department of Health and Human Services (HHS) for assistance, research, and protection. Which service would be expected under the HHS leadership?
a. Restricting the cost of prescriptions b. Limiting accessibility to family planning c. Ensuring food and drug safety d. Providing day care for low-income families