The nurse suspects a client is experiencing chronic obstructive pulmonary disease when which of the following is assessed? (Select all that apply.)
1. Peripheral edema
2. Jugular vein distention
3. High blood pressure
4. Dyspnea on exertion
5. Sputum production
6. Cough
4, 5, 6
Chronic obstructive pulmonary disease is characterized by a history of three primary symptoms: 1) cough, 2) sputum production, and 3) dyspnea on exertion. Peripheral edema, jugular vein distention, and high blood pressure are not symptoms of chronic obstructive pulmonary disease.
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The nurse is caring for a terminally ill patient who appears to be calmly having a conversation with someone even though there is nobody else in the room
The patient reaches out and appears to take something out of thin air and hold it close. Which is the appropriate action of the nurse? a. Reorient the patient and reassure that nobody else is in the room. b. Be present but quiet and let the patient continue the conversation. c. Carefully assess the patient's mental status and level of attention. d. Obtain a set of vital signs and check the patient's pulse oximetry.
A patient presents to the clinic complaining of symptoms that suggest diabetes. What criteria would support checking blood levels for the diagnosis of diabetes?
A) Fasting plasma glucose greater than or equal to 126 mg/dL B) Random plasma glucose greater than 150 mg/dL C) Fasting plasma glucose greater than 116 mg/dL on 2 separate occasions D) Random plasma glucose greater than 126 mg/dL
Which would be the most appropriate greeting to Mrs. Brown, a newly admitted 80-year-old hemiplegic who is fully alert?
1. "Good morning, Mrs. Brown. My name is Ann, and I am your nurse today." 2. "I am your nurse. Today is bath day. You will get yours right after breakfast." 3. "Hello there, Sweetie. We need to get to work on getting your breakfast so we can get your shower." 4. "My name is Ann. You are my patient today."
A patient diagnosed with glaucoma says, "I can't believe this is happening to me and that I can't change it. Everything I do requires that I see well."
Which nursing questions will address the issue reflected in this statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "What time is good for you to return to the clinic tomorrow for a recheck?" 2. "Did you bring someone to drive you home?" 3. "Which pharmacy location do you want me to call with your new prescription?" 4. "Is someone staying with you until your vision is clearer?" 5. "Do you want black sunglasses or red ones?"