A client with lung cancer is lying flat in bed and reports shortness of breath. What action does the nurse take first?
a. Notify the health care provider.
b. Elevate the head of the bed.
c. Assess oxygen saturation.
d. Have the client take deep breaths.
B
The nurse's first action should be to elevate the head of the bed. Next, assessing oxygen satura-tion will help the nurse determine the client's status. If the oxygen is low, the nurse would in-crease oxygen flow and have the client take deep breaths. The provider could be notified after the nurse performs the interventions.
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Muscles of exhalation include which of the following? (Select all that apply.)
a. Abdominal b. Diaphragm c. External intercostals d. Internal intercostals e. Scalene
The nurse correctly selects which intervention to avoid causing shear or friction when moving a patient in bed?
a. Using an airflow bed b. Using a slide board c. Using a trochanter roll d. Using a gel mattress
In order to reduce clinical bias in nursing practice, the nurse should
a. memorize beliefs held by different cultures. b. generalize beliefs based on ethnic membership. c. develop a nonjudgmental, neutral attitude. d. recognize that individuals of the same religion share the same characteristics.
Which of the following groups of clients with human immunodeficiency virus (HIV) will the nurse find have the most severe symptoms?
a. young adult women c. children diagnosed with HIV then young b. men diagnosed with HIV as adolescents d. middle-aged men