A nurse is reinforcing instructions to use the incentive spirometer. Further teaching is necessary if the patient states:
1. "I was able to get the ball up to the marked level today."
2. "I blew into that thing 10 times a little while ago."
3. "I've been using the incentive spirometer every hour."
4. "I feel so tired when I finish using the incentive spirometer."
ANS: 2
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A client in the hospital informs the nurse he "feels like his heart is racing and can't catch his breath." What does the nurse understand occurs as a result of a tachydysrhythmia?
A) It causes a loss of elasticity in the myocardium. B) It reduces ventricular ejection volume. C) It increases afterload. D) It increases preload.
The nurse is assessing the reflexes of a newborn. Stroking the outer sole of the foot assesses which reflex?
a. Grasp b. Perez c. Babinski d. Dance or step
The client describes being very sad during dreary winter seasons. The nurse knows that this disorder may be treated with:
A) Assertiveness training. B) Haloperidol (Haldol). C) Group therapy. D) Phototherapy.
Loss can be:
a. actual. b. perceived. c. temporary. d. all of the above.