A 70-year-old man who worked in a foundry for many years as a young adult sought care with complaints of progressive dyspnea, weight loss, and dry cough. Following an extensive diagnostic workup, the patient was diagnosed with silicosis

This patient's signs and symptoms are the result of what pathophysiological process?
A) The formation of nodular lesions and eventual masses in the lungs
B) Carcinogenesis and the development of non–small cell lung tumors
C) Mechanical destruction of the alveolar walls and subsequent loss of perfusion
D) Inhibition of surfactant production and release


A

Nursing

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A community recovering from a devastating tornado calls upon local communities for assistance and establishes emergency housing for displaced community members in the high school auditorium and church school facilities

Which domain of this community's empowerment has been effectively developed? 1. Resource mobilization. 2. Leadership development. 3. Problem assessment capacity. 4. Participation.

Nursing

The nurse notes that the client's chest tube pulled out by 2 inches during turning and repositioning. Which does the nurse implement?

1. Instruct the nursing assistant to apply pressure for 5 minutes. 2. Replace the WSD system with a sterile waterless unit quickly. 3. Hold a towel firmly over site and send for petrolatum gauze. 4. Push tube into place and apply an occlusive sterile dressing.

Nursing

A nurse delegates a position change to a nursing assistive personnel. The nurse instructs the NAP to place the patient in the lateral position. Which finding by the nurse indicates a correct outcome?

a. Patient is lying on side. b. Patient is lying on back. c. Patient is lying semiprone. d. Patient is lying on abdomen.

Nursing

The nurse is caring for a patient who has decreased mobility. Which intervention is a simple and cost-effective method for reducing the risks of stasis of pulmonary secretions and decreased chest wall expansion?

A) Antibiotics B) Frequent change of position C) Oxygen humidification D) Chest physiotherapy

Nursing