A client with chronic bronchitis has been admitted to the hospital. The nurse inspects the client while assessing the client's respiratory system. Which of the following would be an expected finding?
1. Fever
2. Decreased respiratory rate
3. Use of accessory muscles
4. Dry cough
3
Rationale 1: The client will not typically experience a fever. Fevers are associated with infections.
Rationale 2: The respiratory rate may be elevated to compensate for the inability to breathe properly.
Rationale 3: Chronic inflammation of the tracheobronchial tree leads to increased mucous production and blocked airways, causing decreased air movement in and out of the alveoli, which in turn causes the client's respiratory rate to increase in order to compensate. The muscles of the chest wall work harder to try to pull more air into the alveoli, which causes increased chest wall expansion. The use of accessory muscles to breathe may be noted.
Rationale 4: This client will most likely exhibit a chronic productive cough.
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Muscles of exhalation include which of the following? (Select all that apply.)
a. Abdominal b. Diaphragm c. External intercostals d. Internal intercostals e. Scalene
A patient accompanied her boyfriend to the emergency department after the two had been in a motorcycle accident. The boyfriend was badly hurt, but the patient had only minor cuts and bruises and was discharged
She mentioned to the nurse that since she was driving, she should have been the one to be injured. Twenty-four hours later, while visiting her boyfriend, the patient reported that she was unable to move from her chair and unable to walk. Diagnostic workup revealed no physical reason for the problem. The anxiety relief behavior the patient is demonstrating is: a. projection. b. conversion. c. sublimation. d. reframing.
The nurse on the coronary unit is caring for a patient with known coronary artery disease who is being treated with cholestyramine (Questran) and hydrochlorothiazide (HydroDIURIL). What action will the nurse take?
A) Call the physician and refuse to give the drugs without further orders. B) Make sure that the drugs are given at least 2 hours apart. C) Give the patient an antacid with the drugs. D) Check the patient's blood glucose level before giving the drugs.
The nurse is assessing an infant diagnosed with Down syndrome. Which of the following characteristics would the nurse expect to find during the examination? Standard Text: Select all that apply
1. Slanted eyes 2. Cleft palate and lip 3. Protruding tongue 4. Shortened neck 5. Drooping eyelids