In addition to antibiotics ordered by the physician, which of the following measures can the nurse recommend for a patient with a sinus infection?

a. Pursed-lip breathing
b. Coughing and deep breathing
c. Rest and a room humidifier
d. Percussion and postural drainage


ANS: C
A room humidifier can help liquefy secretions. Pursed-lip breathing is used to promote excretion of carbon dioxide; this is not a problem with sinusitis. Coughing and deep breathing, percussion, and postural drainage are used for congested lungs, not sinuses.

Nursing

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The nurse is assessing the forms of support an older patient has before she is discharged. Which of these examples is an informal source of support?

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A patient's peripheral parenteral nutrition (PN) bag is nearly empty and a new PN bag has not arrived yet from the pharmacy. Which intervention is the priority?

a. Monitor the patient's capillary blood glucose until a new PN bag is hung. b. Flush the peripheral line with saline and wait until the new PN bag is available. c. Infuse 5% dextrose in water until the new PN bag is delivered from the pharmacy. d. Decrease the rate of the current PN infusion to 10 mL/hr until the new bag arrives.

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A nurse has been caring for a client with generalized anxiety disorder. The nurse should evaluate that the care has been effective when the client is able to:

Select all that apply. A) Recognize signs of escalating anxiety. B) Avoid any situation that causes stress. C) Utilize relaxation techniques to limit anxiety. D) Maintain anxiety at a manageable level without the use of medications. E) Discuss plans to handle panic attacks if they occur.

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Which of the following is predominant in a shelter for disaster victims?

a. Stress b. Communicable disease c. Chronic illness d. Injuries requiring first aid

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