The nurse is caring for several clients on the respiratory floor. Which client does the nurse assess most carefully for the development of acute respiratory distress syndrome (ARDS)?
a. Older adult with COPD
b. Middle-aged client receiving a blood transfusion
c. Older adult who has aspirated his tube feeding
d. Young adult with a broken leg from a motorcycle accident
C
The older adult who has aspirated a tube feeding is at high risk and should be assessed closely for the possibility of ARDS. A client with COPD and a middle-aged client with no other risk factors are not at as high a risk for ARDS. The client who has a broken leg from an accident is not at high risk.
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Which of the following describes the older adult who is likely to experience the best overall health and well-being?
a. Resides in assisted-living facility, watches television alone, uses herbal remedies, is underweight b. Resides alone, was moved to a new city recently by the family for their conveni-ence, has osteoarthritis c. Has prostate cancer with metastasis to the lungs, is receiving radiation therapy, is wealthy, has a large family d. Uses a wheelchair, has peripheral arterial disease, attends weekly baseball games with three friends
Which criterion is considered analogous to internal validity in the Lincoln & Guba framework?
A) Credibility B) Transferability C) Dependability D) Confirmability
A 46-year-old patient, unemployed and diagnosed with kidney disease, tells the nurse that he is having difficulty with his medical bills. Which of the following should the nurse do to help this patient?
1. Ask social services to discuss Medicare as a health care coverage option. 2. Assure the patient that the nurse will ask the health care provider if the patient can be quickly discharged to home. 3. Work with the pharmacist to determine which medications the patient can discontinue and still maintain an acceptable level of health. 4. Suggest the patient take prescribed medications every other day to have the prescription last longer.
A client with TB is prescribed isoniazid (INH), rifampin, and pyridoxine. The nurse understands that pyridoxine is used in this combination to:
a. increase the action of INH and rifampin. b. decrease the side effects of rifampin. c. prevent INH-induced peripheral neuropathy. d. increase the absorption of INH and rifampin.