The nurse is preparing a care plan for an older patient with asthma. The patient is receiving oxygen and has a respiratory rate of 28, heart rate of 86, and blood pressure of 108/52
Which nursing diagnosis would be the priority for this patient? 1. Risk for Injury
2. Risk for Infection
3. Activity Intolerance
4. Ineffective Peripheral Tissue Perfusion
4
Rationale: There is no evidence that the patient is at risk for injury.
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When reviewing a client's laboratory results, which findings alert the nurse to the possibility of atherosclerosis? (Select all that apply.)
a. Total cholesterol of 280 mg/dL b. High-density cholesterol of 50 mg/dL c. Triglycerides of 200 mg/dL d. Serum albumin of 4 g/dL e. Low-density cholesterol of 160 mg/dL
A client is instructed to use potassium supplements because a medication that has been prescribed may cause hypokalemia. The nurse is aware that which group of drugs may cause hypokalemia?
a. Potassium-sparing diuretics b. Potassium-wasting diuretics c. Beta-blockers d. Narcotics
After a tube feeding, the person is positioned in semi-Fowler's position for:
a. 15 minutes. b. About 30 minutes c. 45 minutes. d. 1 to 2 hours.
What is the central component of the pathogenic model of multiple sclerosis?
a. Myelination of nerve fibers in the peripheral nervous system (PNS) b. Demyelination of nerve fibers in the CNS c. Development of neurofibrillary tangles in the CNS d. Inherited autosomal dominant trait with high penetrance