A client has a nursing diagnosis of Impaired Comfort related to xerostomia from the daily administration of a cholinergic blocking drug. When assessing the client, the nurse would be alert for which of the following? Select all that apply
A) Dysphagia
B) Tooth decay
C) Gingivitis
D) Impeded speech
E) Gingival hyperplasia
Ans: A, D
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Dry mouth caused by daily use of cholinergic blocking drugs can result in dysphagia and impeded, difficult-to-understand speech. Tooth decay, gingivitis, and gingival hyperplasia are not associated with dry mouth.
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Acute pain usually corresponds to
a. the healing process but should not exceed 9 months. b. the healing process but should not exceed 6 months. c. persistent pain more than 6 months after the healing process. d. damage to the patient's nervous system unrelated to the initial injury.
Change of shift report, collaboration with other health care members, and ensuring availability of needed equipment are examples of:
a. indirect care. b. direct care. c. referrals. d. delegation
Blood leaves the heart through which of these structures?
a. arteries c. veins b. capillaries d. vesicles
A client has blood drawn for an arterial blood gas. When applying pressure to the puncture site it is important for the nurse to:
A) hold the pressure for at least 60 seconds. B) hold pressure for 2 minutes or longer. C) keep the extremity elevated above the heart. D) have a tourniquet available in case bleeding does not stop.