The nurse is caring for a client with Hodgkin's disease. On a particular day, the client develops respiratory distress. Which of the following measures should be taken by the nurse to help the client get relief?
A) Change the position of the client.
B) Keep the neck in midline and place the client in a high Fowler's position.
C) Administer oxygen immediately.
D) Administer oral or topical antipruritic medication.
B
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Bloody breast discharge is associated with which of the following?
A. Bleeding disorder such as von Willebrand disease B. Malignancy C. Excessive non-steroidal anti-inflammatories D. A and C
A patient admitted with hypertension reports peripheral edema, difficulty breathing, and a cough following ambulation. The nurse chooses which priority nursing diagnosis?
1. Impaired Tissue Perfusion 2. Risk of Noncompliance 3. Imbalanced Nutrition 4. Fatigue
The nurse is reinforcing factors that contribute to addiction to a group of patients recovering from addiction and their family members. Which statement made by a patient or family member would indicate the need for additional teaching?
1. "I'm not likely to have any more problems with addiction since neither of my parents had a problem with addiction." 2. "I can still see my friends as long as I stay away from alcohol." 3. "I don't want to become addicted like my husband did. I'm never going to take any kind of drug unless I absolutely have to." 4. "I realize now that I was just looking for ways to help me feel good about myself." 5. "After a while, it just seemed even though I was not in pain, I would still want to take the pain pills."
Interventions in managing a client with ascites may include all of the following except:
a. elevate the head of the bed >30-45°. b. follow a 3000-milligram sodium diet. c. administer diuretics and analgesics as prescribed. d. anticipate paracentesis procedure to remove trapped fluid.