The respirations of a patient who is demonstrating pursed-lip breathing, flared nostrils, and retractions are described as:
a. tachypnea.
b. stertorous.
c. dyspnea.
d. Cheyne-Stokes.
C
The patient who is using ancillary muscles to breathe is exhibiting dyspnea.
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The nurse is using the premise that attitudes to a health-related behavior reflect a person's attitudes to the expected consequences of the behavior. The nurse is using the:
1. Theory of Reasoned Action model. 2. Pender Health Promotion model. 3. Precaution Adoption Process model. 4. Health Belief model.
A client has a deep wound covered with a wet-to-damp dressing. Which intervention does the nurse include on this client's care plan?
a. Change the dressing every 6 hours around the clock. b. Leave the dressing intact until next week. c. Change the dressing when the current dressing is saturated. d. Apply a new dressing when the seal breaks and the dressing leaks.
Which of the following would facilitate teaching a patient with a hearing impairment?
a. use long sentences c. use audiotapes b. sit next to the patient when speaking d. avoid exaggerating pronunciations
The treatment team plans care for a person diagnosed with paranoid schizophrenia and cannabis abuse. The person has recently used cannabis daily and is experiencing increased hallucinations and delusions. Which principle applies to care planning?
a. Consider each diagnosis primary and provide simultaneous treatment. b. The person will benefit from treatment in a residential treatment facility. c. Withdraw the person from cannabis, and then treat the symptoms of schizophrenia. d. Treat the schizophrenia first, and then establish the goals for the treatment of substance abuse.