The nurse receives orders for an Acapella device on several patients. The nurse should question the order on the patient with which condition?
a. Chronic bronchitis
b. Asthma
c. Cystic fibrosis (CF)
d. Pleural effusion
D
The Acapella device is a respiratory rehabilitation device designed to aid sputum clearance. Patients with chronic conditions such as cystic fibrosis, chronic bronchitis, and asthma appear to receive the greatest benefit from this type of treatment. CPT is contraindicated in patients with pleural effusion.
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The nurse is aware that epoetin:
a. must be administered intravenously. b. must be administered daily for 28 days. c. stimulates the bone marrow to produce red blood cells (RBCs). d. prevents infection in clients who are receiving chemotherapy.
You are assigned to teach your client how to give his or her own insulin. You assess the client's level or stage of anxiety. At what stage of anxiety will your client BEST pay attention to your instructions?
a. mild b. moderate c. severe d. panic
JoJo, a 10-year-old patient in room 1232 with a right arm and leg amputation due to osteosarcoma, has been refusing help with his daily routine. JoJo is exhibiting:
1. Beneficence. 2. Justice. 3. Veracity. 4. Autonomy.
Y.L., a 34-year-old Southern Asian woman, comes to the clinic with complaints of chronic fatigue, increased
thirst, constant hunger, and frequent urination. She denies any pain, burning, or low-back pain on urination. She tells you she has a vaginal yeast infection that she has treated numerous times with over-thecounter medication. She works full time as a clerk in a loan company and states she has difficulty reading numbers and reports, resulting in her making frequent mistakes. She says, "By the time I get home and make supper for my family, then put my child to bed, I am too tired to exercise." She reports her feet hurt; they often "burn or feel like there are pins in them." She has a history of gestational diabetes and reports that after her delivery she went back to her traditional eating pattern, which is high in carbohydrates. In reviewing Y.L.'s chart, you note she last saw the provider 6 years ago after the delivery of her last child. She has gained considerable weight; her current weight is 173 pounds. Today her blood pressure (BP) is 152/97 mm Hg, and a random plasma glucose level is 291 mg/dL. The provider suspects that Y.L. has developed type 2 diabetes mellitus (DM) and orders the laboratory studies shown in the chart. Interpret Y.L.'s laboratory results.