The patient on cromolyn for asthma is monitored carefully during reduction of the medication because:
1. an increase in appetite causes weight gain.
2. the asthmatic symptoms may return.
3. of increased discharge in the nasal passages.
4. of increased watery eyes.
2
Be careful when decreasing the dosage or stopping the use of cromolyn. This decrease in dosage can cause asthmatic symptoms to start up again.
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The nurse is reviewing percussion techniques with a newly graduated nurse. Which technique, if used by the new nurse, indicates that more review is needed?
a. Percussing once over each area b. Quickly lifting the striking finger after each stroke c. Striking with the fingertip, not the finger pad d. Using the wrist to make the strikes, not the arm
Which entry in the medical record will meet the requirement that the nurse must document with
problem-oriented charting? a. "A: Client muttering to self as though answering an unseen person. P: Sensory perceptual alteration related to internal auditory stimulation. I: Client received prn fluphenazine po at 9 AM and went to room to lie down. E: Client calmer by 9:30 AM. Returned to community room to watch TV.". b. "Agitated behavior. D: Client muttering to self as though answering an unseen person. A: Given Haldol 2 mg po and went to room to lie down. E: Client calmer. Returned to lounge to watch TV.". c. "S: Client states ‘I feel like I'm ready to blow up.' O: Pacing hall and mumbling to self as though answering an unseen person. A: Client is experiencing auditory hallucinations. P: Offered prn Haldol 2 mg po. I: 2 mg Haldol po administered. E: Client calmer. Returned to lounge and watched TV.". d. "Client seen pacing hall and muttering to self as though answering an unseen person. Haldol 2 mg po administered at 9 AM with calming effect in 30 minutes. Stated he was no longer ‘bothered by the voices.'"
A client comes into the emergency department complaining of the inability to feel his hands and feet after waiting for 2 hours for transportation in 20°F weather. To help this client, the nurse should:
1. Rub and massage the hands and feet. 2. Warm the hands and feet in tepid water for 2 hours. 3. Warm the hands and feet in 104°F water for 20 to 30 minutes. 4. Provide an antipyretic.
Which disorder of the chest best describes these symptoms?
A 68-year-old retired postman presents to your clinic, complaining of dull, intermittent left-sided chest pain over the last few weeks. The pain occurs after he mows his lawn or chops wood. He says that the pain radiates to the left side of his jaw but nowhere else. He has felt light-headed and nauseated with the pain but has had no other symptoms. He states when he sits down for several minutes the pain goes away. Ibuprofen, Tylenol, and antacids have not improved his symptoms. He reports no recent weight gain, weight loss, fever, or night sweats. He has a past medical history of high blood pressure and arthritis. He quit smoking 10 years ago after smoking one pack a day for 40 years. He denies any recent alcohol use and reports no drug use. He is married and has two healthy children. His mother died of breast cancer and his father died of a stroke. His younger brother has had bypass surgery. On examination you find him healthy-appearing and breathing comfortably. His blood pressure is 140/90 and he has a pulse of 80. His head, eyes, ears, nose, and throat examinations are unremarkable. His lungs have normal breath sounds and there are no abnormalities with percussion and palpation of the chest. His heart has a normal S1 and S2 and no S3 or S4. Further workup is pending. A) Angina pectoris B) Pericarditis C) Dissecting aortic aneurysm D) Pleural pain