A 65-year-old man with emphysema and bronchitis has come to the clinic for a follow-up appointment. On assessment, the nurse might expect to see which finding?
a. Anasarca
b. Scleroderma
c. Pedal erythema
d. Clubbing of the nails
ANS: D
Clubbing of the nails occurs with congenital cyanotic heart disease and neoplastic and pulmonary diseases. The other responses are assessment findings not associated with pulmonary diseases.
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A nurse is caring for four clients receiving enteral tube feedings. Which client should the nurse see first?
a. Client with a blood glucose level of 138 mg/dL b. Client with foul-smelling diarrhea c. Client with a potassium level of 2.6 mEq/L d. Client with a sodium level of 138 mEq/L
Under normal situations, the normal ventilation to perfusion ratio is 4:5 (0.8). Atelectasis can cause a shunt-producing ventilation/perfusion mismatch. This occurs primarily as a result of
a. perfusion exceeding ventilation. b. ventilation exceeding perfusion. c. an alveolus that is receiving ventilation but not perfusion. d. an alveolus that is receiving perfusion but not ventilation.
A nurse hears screaming from a client?s room. A male visitor leaves the client?s room. Which action should the nurse take at this time?
1. Call the local police. 2. Notify the client?s physician. 3. Follow the visitor. 4. Check on the client and assess the client?s condition.
The nurse is planning to obtain a capillary blood specimen from a client. The site that is LEAST LIKELY to be used for this specimen would be the:
a. heel. b. fingertip. c. earlobe. d. antecubital space.