A client hospitalized for worsening renal failure suddenly becomes restless and agitated. The assessment reveals tachycardia and crackles bilaterally at the bases of the lungs. What con-clusion can the nurse draw from this information?
A. The client requires an antianxiety agent.
B. The client is developing pulmonary edema.
C. The client has not taken the prescribed medications.
D. The client is upset about the decline in kidney function.
B
Restlessness, anxiety, tachycardia, dyspnea, and crackles at the bases of the lungs are early ma-nifestations of pulmonary edema.
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The nurse assesses clients for the cardinal signs of inflammation. Which signs/symptoms does this include? (Select all that apply.)
a. Edema b. Pulselessness c. Pallor d. Redness e. Warmth
The patient is complaining of a headache and asks the nurse which over-the-counter medication form would work the fastest to help reduce the pain. Which medication form will the nurse sug-gest?
a. A capsule b. A tablet c. An enteric-coated tablet d. A powder
A cremasteric reflex should result in:
a. testicular and scrotal rise on the stroked side. b. penile deviation to the left side. c. bilateral elevation of the scrotum. d. immediate erection of the penis.
The treatment team discusses the plan of care for a patient diagnosed with schizophrenia and daily cannabis abuse who is having increased hallucinations and delusions. To plan effective treatment, the team should:
a. provide long-term care for the patient in a residential facility. b. withdraw the patient from cannabis, then treat the schizophrenia. c. consider each diagnosis primary and provide simultaneous treatment. d. first treat the schizophrenia, then establish goals for substance abuse treatment.