The nurse is caring for a patient with cor pulmonale. The nurse should monitor the patient for which expected finding?
a. Peripheral edema
b. Elevated temperature
c. Clubbing of the fingers
d. Complaints of chest pain
ANS: A
Cor pulmonale causes clinical manifestations of right ventricular failure, such as peripheral edema. The other clinical manifestations may occur in the patient with other complications of chronic obstructive pulmonary disease (COPD) but are not indicators of cor pulmonale.
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When assessing a patient, the nurse notes a yellow tinge to the patient's skin. The nurse should document that the patient has:
a. dyspnea. b. cyanosis. c. jaundice. d. ecchymosis.
An elderly patient is dying, and begins talking to loved ones who have died before him. The nurse feels a sense of inner peace as his patient quietly dies. What is the best term for this feeling of peace?
a. Self-transcendence b. Intrapersonal connectedness c. Interpersonal connectedness d. Transpersonal connectedness
The nurse working with elderly clients in a nursing home assesses them for dehydration closely because the clients (Select all that apply)
a. are more susceptible to developing ascites and anasarca. b. experience interactions among drugs they may take for chronic illnesses. c. have a decreased proportion of body water as compared to fat. d. may be demented and not realize they need to drink. e. probably have a diminished sense of thirst.
A nursing instructor has just completed a lecture on how Jamieson and O'Mara (1991) established a program to help nurse managers manage a diverse staff. The instructor then asked the group to identify the steps put forth by Jamieson and O'Mara
Which comment by an individual would indicate that further teaching is needed? a. Determine which cultural groups are represented on staff. b. Understand the organization's values and goals. c. Decide how to manage conflict. d. Analyze present conditions within the organization