A client with lung cancer is to undergo thoracentesis. What observation is of most
concern to observe after the procedure?
A) Respirations 22
B) Blood pressure 142/86
C) Respirations deep and regular
D) Fluid drainage from the thoracentesis site
D
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A nurse cares for a client with end-stage heart failure who is awaiting a transplant. The client appears depressed and states, "I know a transplant is my last chance, but I don't want to become a vegetable." How should the nurse respond?
a. "Would you like to speak with a priest or chaplain?" b. "I will arrange for a psychiatrist to speak with you." c. "Do you want to come off the transplant list?" d. "Would you like information about advance directives?"
A patient states that he feels terrific, but a blood test shows that he is HIV-positive. It is important for the nurse to discuss with him that HIV may remain dormant for several years. What is true of the patient during this time?
a. He is not dangerous to anyone. b. He experiences minor symptoms only. c. He experiences decreased immunity. d. He is contagious.
Troponin is the gold standard for determining heart damage in the early stages of an MI
Indicate whether the statement is true or false
A nursing instructor asks the students to differentiate between postpartum blues, depression, and postpartum psychosis. Which of the following responses by the students would indicate that they know the difference between the three conditions?
a. With postpartum blues, the mother may feel she is in control of the situation. b. In postpartum psychosis, the mother has delusions and hallucinations. c. Postpartum depression usually occurs within 3 to 10 days after delivery. d. Women experiencing postpartum psychosis are reality oriented and feel in control of the situation.