Within the first 2 days after central venous line insertion, the nurse is alert to the possibility of a pneumothorax. The nurse observes the client for:
A. Dizziness and restlessness
B. Shortness of breath and chest pain
C. Malaise, elevated white count
D. Decreased level of consciousness and chills
B
B. Observe client for shortness of breath, pain in the chest or shoulder within 31 to 48 hours after insertion of catheter—symptoms indicate delayed complication of pneumothorax.
A. Client is shaky, dizzy, nervous, anxious, senses hunger, and blood sugar level less than 80 mg/100 ml are signs of hypoglycemia.
C and D. Symptoms of systemic infection are isolation of same microorganism from blood culture and catheter segment, with client showing fever, chills, malaise, elevated white blood cell count.
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Which of the following client statements indicates successful teaching of a client who is scheduled to have a Pap test?
A) "I'll schedule the test for the time when I have my next menstrual period." B) "I need to refrain from sexual intercourse for at least 1 week before the test." C) "I will stop using any vaginal medications at least 48 hours before the test." D) "I need to use a vinegar and water douche the morning of the test."
The teeth and the stomach contribute mainly to:
1. Enzyme secretion 2. Hydrolysis 3. Chemical digestion 4. Mechanical digestion
A nurse is caring for a client who has a diagnosis of Impaired skin integrity, related to immobility, secondary to neurologic dysfunction. Which should the nurse identify as an observation intervention?
1. Turn and reposition client every 2 hours. 2. Cushion bony prominences with soft foam while in bed. 3. Provide ongoing assessment for skin breakdown every shift. 4. Apply lotion to dry skin twice daily.
Midazolam (Versed) may be administered as part of surgical anesthesia. This drug is recognized as having which effects?
1. Producing effects consistent with those observed in administering other benzodiazepines 2. Reducing anxiety and stress associated with surgery 3. Producing central nervous system depression and skeletal muscle relaxation 4. Maintaining stable cardiac and respiratory activity 5. Preventing cardiac dysrhythmias