The nurse is caring for a patient who has a sliding hiatal hernia. The nurse would expect the patient to report that symptoms are worse in which position?
a. Lying down
b. Semi-Fowler's
c. Standing
d. Sitting
ANS: A
In a sliding hiatal hernia, the stomach slides up into the thoracic cavity when a patient is supine and then goes back into the abdominal cavity when upright. Sliding hiatal hernia symptoms are worse when lying down.
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A client living in the 1920s received health care services. Which of the following would have been the most likely form of payment?
a. Patients paid out of their pockets for whatever care the provider charged. b. Public health employees gave care to those who needed it. c. There was little health care to be had, regardless of a person's wealth. d. Workers who belonged to a union had their bills paid by insurance.
During the first few days of starvation, the brain obtains glucose that is produced from
a. glycogen via glycolysis. b. fatty acids via lipogenesis. c. amino acids via gluconeogenesis. d. branched-chain amino acids via deamina-tion.
The nurse is caring for a patient diagnosed with a brain tumor who is about to undergo surgery to have the tumor removed
Before the surgery, the patient signs a document giving instructions to his family regarding the level and extent of life-prolonging treatments he desires. Which of the choices below describe this legal directive? Select all that apply. a. The document is a durable power of attorney for healthcare. b. The document is a living will. c. The family can make decisions that are consistent with the document if the patient is incompetent. d. The family is able to decide to prolong the patient's life, even if he does not want it. e. The family has guidance on the treatments the patient wants.
The renal patient with hyperkalemia may get glucose and insulin administered because
A) potassium is lowered as it binds with glucose. B) they shift potassium into cellular pools. C) a diuretic effect is achieved, decreasing potassium. D) increasing the fluid volume with glucose and insulin helps to decrease potassium.