The nurse is providing postpartum care to a woman who has delivered by cesarean section. According to her records, simethicone, diphenhydramine, and naloxone have been prescribed. Which manifestation should the nurse report immediately?
A) Intense itching manifested by scratching
B) Abdominal distension and pain
C) Difficulty coughing and turning
D) Slow respiration, less than 12 breaths per minute
Ans: D
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A patient who is diagnosed with cancer confined to the vocal cord states, "A friend of mine had throat cancer and it ended up in his liver. I know it will be the same for me." The nurse's best response is:
A) "Your cancer is confined to your vocal cords, and metastasis is rare due to the lack of lymph nodes." B) "You are right; approximately 75% of patients experience metastasis to the liver." C) "You should speak to your doctor about your prognosis; I cannot adequately answer your question." D) "Are you upset about your diagnosis? I know I would wonder the same thing."
A patient visits the physician for a routine physical examination that involves testing distance vision. As she faces the Snellen chart, the nurse is to instruct the patient to
a. use both eyes to read the chart. b. read the chart from right to left. c. cover one eye while testing the other. d. use any one eye since they will be the same.
Major transformations occurring in use of Health Information Technology (HIT) that will greatly change traditional patterns of nursing communication include which of the following? (Select all that apply.)
a. Electronic health record (EHR) b. Centralized access to client information c. Handheld wireless devices to provide continual information d. Point of care information e. Continual real time exchange of information
The nurse is assessing the peripheral vascular status of an older client. Which finding should the nurse consider as being normal for this client?
1. Easy to palpate upper extremity arteries 2. Easy to palpate lower extremity arteries 3. Reduction in the number of varicosities 4. Increase in diastolic blood pressure