Which of the following clinical manifestations is not expected in a client with an occupational lung disease?
1. Wet-sounding crackles in the lungs
2. Chronic cough
3. Clubbing of the fingers
4. Excess sputum with varying amounts of black fluid
Wet-sounding crackles in the lungs
Rationale: The diffuse interstitial fibrosis that occurs leads to dry crackles in up to 90% of clients. Chronic cough is often a presenting sign. Clubbing of the fingers is frequently present. Sputum is expectorated in large quantities and often contains varying amounts of black fluid, particularly in smokers.
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Which of the following is NOT a factor in patient- and/or family-generated violence in healthcare settings?
a. Feelings of vulnerability b. Anxiety about treatments or diagnoses c. Feelings of powerlessness or loss of con-trol d. Staff rudeness
Which of the following statements by patients should prompt the nurse to assess for potential failure of the adrenal cortex?
A) "I'm always exhausted these days, and I never really feel like eating." B) "Lately, I find that I'm more irritable and impatient than normal." C) "The last little while I get numbness and tingling in my lips and fingers a lot." D) "My thirst is almost insatiable these days, and my mouth always feels dry."
The nursing student is caring for a group of patients on the medical-surgical unit who need to be ambulated during the day. She tells the primary nurse, "Some of my patients feel so sick but want to get out of bed
Others say they feel well but don't want to get out of bed. What should I do?" What is the most appropriate response by the nurse? a. "All patients are supposed to be out of bed today so do the best you can with them." b. "This is not uncommon. Sometimes you have to push some patients more than others." c. "All patients may respond to illness differently. Explain to them that they must be out of bed today. d. "Get the patients out of bed who want to get up, and help the others to ambulate later in the day."
A patient with type 1 diabetes who takes insulin reports taking propranolol for hypertension. Why is the nurse concerned?
a. The beta blocker can cause insulin resis-tance. b. Using the two agents together increases the risk of ketoacidosis. c. Propranolol increases insulin requirements because of receptor blocking. d. The beta blocker can mask the symptoms of hypoglycemia.