Which of the following patients should the nurse monitor most closely for symptoms of a pulmonary embolism (PE)?
a. A patient with chronic obstructive pulmonary disease (COPD)
b. A patient with a deep vein thrombosis in the leg
c. A patient who smokes
d. A patient with a history of radiation therapy for lung cancer
ANS: B
Clots in the legs can mobilize and move to the lungs. COPD is not associated with blood clots. Smoking causes many lung disorders but does not directly cause PE. History of radiation therapy is not a risk factor for PE.
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In planning the nursing care of a client with anorexia nervosa, which nursing goal is the highest priority in the initial phase of treatment?
A) Regain lost weight. B) Restore electrolyte imbalances. C) Support healthy coping mechanisms. D) Improve self-esteem and body image.
The most appropriate action that the nurse working at a camp would take to remove an insect from a camper's ear is
a. gently irrigate the ear canal with sterile water. b. instill a few drops of mineral oil into the ear. c. instruct the camper to tilt the affected ear downward. d. occlude the ear with a medicated cotton pledget.
There are many possible approaches to identifying solutions to problems previously identified and chosen for intervention. What about the chosen solution will allow the nurse to identify it as the most important choice?
A. Must be financially reimbursable. B. Must have the support of the clinical agency. C. Must represent the values, beliefs, and perceptions of the involved aggregate. D. Should be chosen with the most pros and the least cons.
A nurse is providing care to a male client who is hospitalized with a diagnosis of schizophrenia. Which of the following would be appropriate for the nurse to include in the client's medical record?
A) "Client states that he had a good night with no complaints." B) "Complained of being unable to sleep because he heard voices throughout the night." C) "Had a typical night without incidence of insomnia or nightmares." D) "Acted crazily throughout the night; kept hearing voices and noises."