When administering oxygen to clients with conditions such as emphysema, it is important for the nurse to remember that for these clients the:
a. drive to breathe may be dependent on low levels of oxygen in the blood
b. respiratory rate may be increased a great part of the time
c. intercostal muscles contract during inspiration, but fail to relax during expiration
d. lung stretch receptors may fail to monitor the patterns of breathing
A
The drive to breathe is based on the concentration of carbon dioxide levels and may be dependent on low levels of oxygen in the blood.
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A widow, aged 72 years, lives alone and is visited weekly by her son. She takes digoxin, hydrochlorothiazide, and an antihypertensive drug. She also has a prescription for diazepam (Valium) as needed for moderate to severe anxiety
When the son visited today, he found his mother confused. Her speech was thick and slurred and she had an unsteady gait. She was taken to the emergency department, and hospital admission followed. The nurse assessed the patient as having several cognitive problems, including memory and attention deficits and fluctuating levels of orientation. The nurse confirms that the patient's symptoms developed over a 2-day period. The patient's symptoms are most characteristic of: a. delirium. b. dementia. c. amnestic syndrome. d. Alzheimer's disease.
A nurse is supervising a nursing assistant who is preparing an occupied bed. What action by the nursing assistant indicates a need for further learning?
A) Rolling the client to the far end of the bed B) Pulling the draw sheet from below the client C) Loosening the bed linen from one side of the bed D) Wearing disposable gloves
In talking with the nursing students about scleroderma the nursing instructor refers to the CREST syndrome. These are clinical manifestations that may be related to scleroderma. What does the "R" in CREST stand for?
A) Raynaud's phenomenon B) Reye's syndrome C) Rhintis D) Renal failure
The nurse is providing multiple medications to a patient whose spouse brings grapefruit juice every morning. The nurse will be concerned about which classes of drugs? (Select all that apply.)
a. Calcium channel blockers b. Selective serotonin reuptake inhibitors c. Aminoglycosides d. Beta blockers e. Penicillins