The nurse has a patient who is short of breath and calls the health care provider using SBAR to help with the communication. Which does the nurse address first?
a. The respiratory rate is 28.
b. The patient has a history of lung cancer.
c. The patient is short of breath.
d. He or she requests an order for a breathing treatment.
Answer: c. The patient is short of breath.
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The nurse has admitted a child with a ventricular septal defect (VSD) to the unit. Which nursing diagnosis is appropriate for this child?
1. Hypothermia related to decreased metabolic state 2. Acute pain related to the effects of a congenital heart defect 3. Ineffective tissue perfusion (peripheral) related to cyanosis secondary to congenital heart defect 4. Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow
A patient with chronic renal failure (CRF) has a nursing diagnosis of Disturbed sensory perceptions related to central nervous system changes induced by uremic toxins. Which nursing intervention is appropriate for this problem?
a. Ensure restricted protein intake to prevent nitrogenous product accumulation. b. Provide an opportunity for the patient to discuss concerns about his condition. c. Convey a caring attitude and foster the nurse-patient relationship. d. Discourage eating fruits and vegetables as sources of high potassium in the diet.
Which statement about nail care is NOT accurate?
A) Always obtain instructions and permission from your supervisor. B) A lack of nail and foot care can result in an infection. C) Routine and proper foot care helps prevent foot odor. D) Fingernails are always cut at sharp angles.
A nurse is providing patient education for a 71-year-old patient and the spouse. The patient has taken levodopa (Dopar) for Parkinson's disease for 2 weeks but reports no improvement in the symptoms
The nurse should tell the patient a. "Stop the drug. If you have not noticed any effects within 2 weeks, the prescriber may need to change your drug regime." b. "It may take several months for a response to occur. Continue the medication as prescribed." c. "Double the dose to see whether an effect occurs. Finding the correct dose takes many adjustments." d. "Another agent will need to be added to the regimen to manage your symptoms."