For which of the following clients should the nurse question the use of heat therapy?
a. A client with edema around the wound
b. A client with impaired mobility
c. A client whose injury is more than 24 hours old
d. A client whose wound is still bleeding
ANS: D
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A 3-year-old you meet has phenylketonuria. Which of the following foods would you question if you saw it on his lunch tray?
A) A dish of pears B) Chocolate pudding C) Lettuce leaves D) Orange juice
The nurse is caring for an older client with end-stage renal disease. What actions should the nurse take to support this client's spiritual development?
1. Support the client to have hope for a cure. 2. Suggest the client view losses as liberations. 3. Encourage the client to reminisce about life events. 4. Ask open-ended questions about the client's life purpose. 5. Remind the client that time is running out to make any life changes.
During fetal development, several factors can affect the outcome of bone development. All of the following influence the development except:
1. Fifth's disease. 2. Exposure to cat feces. 3. Caffeine consumption. 4. Contaminated water.
B.T., a 31-year-old man who lives in a small mountain town in Colorado, is highly allergic to dust and pollen and has a history of mild asthma
B.T.'s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler, he was unable to lie down, and he began to use accessory muscles to breathe. B.T. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. B.T. appears anxious and says that he is short of breath. Vital Signs Blood pressure (BP) 152/84 mm Hg Pulse rate 124 beats/min Respiratory rate 42 breaths/min Temperature 100.4 ° F (38.4 ° C) Are B.T.'s vital signs acceptable? State your rationale. What is the rationale for immediately starting B.T. on O2? Keeping in mind B.T.'s health history and presenting complaint, what are the most important areas you need to evaluate during your physical assessment? Arterial Blood Gases pH 7.31 Paco2 48 mm Hg HCO3 26 mmol/L Pao2 55 mm Hg Interpret B.T.'s arterial blood gas results. Medication Orders Albuterol 2.5 mg plus ipratropium 250 mcg nebulizer treatment STAT Albuterol (Ventolin) inhaler 2 puffs q4h Metaproterenol sulfate (Alupent) 0.4% nebulizer treatment q3h Fluticasone (Flovent HFA) MDI: 220 mcg, 1 puff twice daily What is the rationale for the albuterol 2.5 mg plus ipratropium 250 mcg nebulizer treatment STAT (immediately)? Indicate the drug classification and expected outcome B.T. should experience with using metaproterenol sulfate (Alupent) and Fluticasone (Flovent).