A nurse is assessing a client who is recovering from a lung biopsy. Which assessment finding requires immediate action?
a. Increased temperature
b. Absent breath sounds
c. Productive cough
d. Incisional discomfort
ANS: B
Absent breath sounds may indicate that the client has a pneumothorax, a serious complication after a needle biopsy or open lung biopsy. The other manifestations are not life threatening.
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The most commonly acquired mental health problems in older adulthood are
1. dementia and delusions. 2. Depression and suicide. 3. Alzheimer's disease and delirium. 4. Alzheimer's disease and dementias.
The purpose of antibiotic therapy in treating stomach disorders is that it
a. eradicates H. pylori. b. inhibits gastric acid secretion. c. protects the gastric mucosa. d. neutralizes or reduces the acidity of stomach contents.
The nurse reading a client's medical record determines that the client's relationships with both men
and women tend to be intense and unstable, with the client initially idealizing the significant other and then devaluing him or her when the individual does not meet the client's needs. Furthermore, the client experiences feelings of emptiness and resorts to self-mutilation. The aspect of mental health the nurse can assess as lacking is a. effectiveness in work. b. communication skills. c. productive activities. d. fulfilling relationships.
Slight irregularities in the character of the pulse need not be reported
Indicate whether the statement is true or false