A client has been smoking for the last 40 years and has a history of emphysema. Which of the following findings would the nurse not expect to find?
1. Decreased forced vital capacity (FVC)
2. Increased anterior-posterior chest diameter
3. Increased forced expiratory volume (FEV1)
4. Pursed lip breathing
3
The FEV1 does not increase; it decreases. The FVC does decrease, and the client can exhibit increased anterior-posterior chest diameter and pursed lip breathing.
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The nurse is planning the care of a woman who is scheduled to begin radiation therapy for the treatment of invasive breast cancer
The nurse is aware that this treatment is often well-tolerated but that it creates a risk of which of the following nursing diagnoses? A) Acute pain B) Unilateral neglect C) Ineffective thermoregulation D) Impaired skin integrity
A woman who is pregnant for the first time is dilated 3 cm and having contractions every 5 minutes. She is groaning and perspiring excessively; she states that she did not attend childbirth classes. What is the optimal intervention for the nurse to provide at this time?
a. Notify the woman's health care provider. b. Administer the prescribed narcotic analgesic. c. Assure her that her labor will be over soon. d. Assist her with simple breathing and relaxation instructions.
A patient has recently been diagnosed with acute heart failure. Which medication order does the nurse question?
a. Dobutamine (Dobutrex), a beta-adrenergic agonist b. Milrinone (Primacor), a phosphodiesterase inhibitor c. Levosimendan (Simdax), a positive inotropic d. Carvedilol (Coreg), a beta blocker
The rest of the day is uneventful, and the next day T.B. is discharged to home
What discharge teaching does T.B. need? List at least six points.