A client has been admitted to the intensive care unit with worsening pulmonary manifesta-tions of heart failure. What primary collaborative problem should the nurse be most alert for in this client?
A. Risk for aspiration
B. Potential for acidosis
C. Risk for activity intolerance
D. Potential for pulmonary edema
D
The client with worsening heart failure is most at risk for pulmonary edema as a consequence of fluid retention.
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A patient who has had rheumatoid arthritis for years comes to the clinic to ask about changes in her fingers. The nurse will assess for signs of what problems?
a. Heberden nodes b. Bouchard nodules c. Swan-neck deformities d. Dupuytren contractures
A lawsuit is brought against a nurse in a rural hospital. The nurse replies that the standard of care for rural nurses is different from that for nurses working in large urban facilities. Is this a defensible position?
1. No; rural nurses work in a slower paced environment, so they have more time to provide quality personal care. 2. Yes; the rural nurse does not have access to the same quality of inservice education as the urban nurse. 3. No; nurses in rural settings must meet the same standards as those practicing in large urban areas. 4. Yes; it is well known that rural health care is substandard as compared to urban health care.
Under a claims-made insurance policy, for which claim is the nurse protected?
1. Claims that were filed before the insurance coverage became active 2. Claims that are filed for incidents during the active period of the policy 3. Claims filed within a 30-day grace period before or after policy times 4. Claims for all future events, whether the policy is active at that time or not
The client should be taught that when her infant falls asleep after feeding for only a few minutes, she should do which of the following?
a. Unwrap and gently arouse the infant. b. Wait an hour and attempt to feed again. c. Try offering a bottle at the next feeding. d. Put the infant in the crib and try again later.