Which manifestation of chronic obstructive pulmonary disease (COPD) that occurs early in the disease will the nurse assess in an older patient?
1. Dysrhythmias
2. Cyanotic nail beds
3. Clubbing of the fingers
4. Cough in the morning producing clear sputum
4
Rationale: Enlargement and thickening of the right ventricle of the heart often results in dysrhythmias. This occurs later in the disease.
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An assessment question that would be highly appropriate to ask a client with possible generalized
anxiety disorder would be a. "Have you been a victim of a crime or seen someone badly injured or killed?" b. "Do you feel especially uncomfortable in social situations involving people?" c. "Do you repeatedly do certain things over and over again?" d. "Do you find it difficult to control your worrying?"
The clinic nurse is caring for a patient who has a longstanding diagnosis of HIV. The nurse has assessed that the patient is experiencing a progressive decline in cognitive, behavioral, and motor functions
The nurse recognizes that these symptoms are most likely related to the onset of what? A) HIV encephalopathy B) B-cell lymphoma C) Kaposi's syndrome D) Wasting syndrome
The nurse is planning care for a client who had a cesarean birth four hours ago. Which of the following should be included in this client's plan of care? (Select all that apply.)
1. Administer analgesics as prescribed. 2. Encourage to ambulate to the bathroom to void. 3. Encourage leg exercises every 2 hours. 4. Encourage deep breathing and coughing every 2 to 4 hours. 5. Encourage the use of breathing, relaxation, and distraction.
Significant numbers of individuals with depression have problems related to:
a. Sleep cycles b. Weight stabilization c. Eating patterns d. Thyroid function e. Cognitive skills