During assessment of the patient with pneumonia, the nurse notes a bluish coloration of the skin. The nurse interprets this to mean the patient is
a. in the early stages of a respiratory problem
b. improving
c. hypoxic
d. hyperventilating
C
Cyanosis is often a late sign in patients with poor oxygenation. The presence of cyanosis is considered as an indicator of a hypoxic emergency. Hypoxia can lead to a decrease in respiratory rate.
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The nurse is conducting a literature review to determine the statistical results of all related studies. This type of review is known as:
a. a meta-analysis. b. an integrative literature review. c. a systematic review. d. grounded theory research.
A client is sent home on lisinopril (Zestril). The nurse has educated the heart failure client on the actions of this medication. Which of the following best describes what the nurse instructed?
1. Lisinopril is an ACE inhibitor medication. This medication will lower the blood pressure and decrease the fluid in the body. The client may notice a cough. 2. Lisinopril is an ACE inhibitor medication that will lower the client's heart rate and blood pressure. The client should observe closely for angioedema. 3. Lisinopril is a beta-blocking drug that will lower the client's heart rate and blood pressure. The client should observe closely for symptoms of worsening heart failure. 4. Lisinopril is a beta-blocker drug that will increase the pumping ability of the heart. The client should observe closely for orthostatic hypotension.
A patient who has insulin-dependent diabetes mellitus must take a glucocorticoid medication for osteoarthritis. When teaching this patient, the nurse will explain that there may be a need to
a. decrease the glucocorticoid dose. b. decrease the insulin dose. c. increase the glucocorticoid dose. d. increase the insulin dose.
Which response by an adolescent during the termination of outpatient substance abuse therapy indicates the need to reevaluate the treatment plan? The adolescent:
a. says, "I'm ready to get started, but I'm just a little worried.". b. becomes tearful, and the voice quivers while saying, "goodbye.". c. says, "I never thought I'd be sorry to stop coming here!" d. writes a note sharing fears of relapsing once independent.