The nurse teaches a client with superior vena cava syndrome that improvement is characterized by which clinical manifestation?
a. The client's hands are less swollen.
b. Breath sounds are clear bilaterally.
c. The client's back pain is relieved.
d. Pedal edema is present.
A
With superior vena cava syndrome, blood flow through the vena cava is compromised as a result of tumor growth. Blood backs up into the periphery, and the client experiences upper body swel-ling, including the hands and feet. Compression of the superior vena cava has no effect on breath sounds. This would occur when blood is impeded from leaving the lungs, and with disorders that affect the left side of the heart. Back pain is not associated with this disorder.
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The nurse will instruct patients about a
possible systemic effect that may occur if excessive amounts of topically applied adrenergic nasal decongestants are used. Which systemic effect may occur? a. Heartburn b. Bradycardia c. Drowsiness d. Palpitations
Which of the following statements is true related to home care?
a. The nurse should consider herself a member of the family when entering the client's home. b. The nurse should arrive at the client's home unannounced to get an accurate picture of the client's situation. c. Part of the teaching assessment includes appraisal of the home environment. d. The nurse should wash her hands in the kitchen sink when visiting the client.
The public health nurse focuses on:
1. Home visiting 2. Direct care 3. Health 4. Illness prevention
A nurse is teaching a patient with chronic renal failure who will begin receiving epoetin alfa (Epogen) about this drug therapy. Which statement by the patient indicates understanding of the teaching?
a. "If I have to start dialysis, I will have to stop taking this drug." b. "Taking this drug should eliminate my need for blood transfusions." c. "Taking this medication will prevent the need for dialysis in the future." d. "When I take this, my serum ferritin levels will increase."