A 72-year-old female patient is prescribed ipratropium aerosol for pulmonary emphysema. The nurse will instruct her to "test spray" the new metered-dose inhaler (MDI) three times before using it to prevent which of the following?

A) Anaphylactoid reaction
B) Asymptomatic elevated hepatic enzymes levels
C) Paradoxic acute bronchospasm
D) Symptomatic hepatitis with hyperbilirubinemia


C

Nursing

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The client is attending a clinic held in a church basement for her prenatal care. The client's care is provided by registered nurses and a certified nurse-midwife. This type of prenatal care is an example of:

1. Secondary care. 2. Tertiary care. 3. Community care. 4. Unnecessarily costly care.

Nursing

The nurse is preparing a seminar that discusses the risk and incidence of cancer and culture. What information is considered culturally correct when teaching about the risk of developing cancer?

Select all that apply. A) African-American are more likely to develop cancer than any other ethnic group. B) Hispanics have an increased risk of cervical, stomach, and liver cancer. C) The incidence and mortality rate of all type of cancers are lowest in the Caucasian population. D) African-Americans are less likely to develop cancer than any other ethnic or racial group in the United States. E) The Asian/Pacific islander population has the lowest mortality rate of any racial or ethnic group.

Nursing

Mechanical forces that interfere with normal prenatal development include oligohydramnios and fibrous amniotic bands. A patient at 34 weeks of gestation has reported to the OB triage unit for assessment of oligohydramnios

The nurse assigned to care for this patient is aware that prolonged oligohydramnios may result in (select all that apply) a. Intrauterine limb amputations b. Clubfoot c. Delayed lung development d. Other fetal abnormalities e. Fetal deformations

Nursing

A female adolescent is diagnosed with polycystic ovary syndrome. Which information should the nurse prepare to instruct the patient about the treatment for this disorder? (Select all that apply.)

A) Importance of exercise B) Use of antiandrogen medication C) Eating plan to reach appropriate weight D) Use of fertility medications to regulate menstrual cycles E) Use of oral combined estrogen/progesterone contraceptive

Nursing