The client is using a medication that paralyzes the cilia in the airways. What should you teach this client about this side effect?
A. "Increase the amount of water you drink to prevent throat dryness."
B. "Cough every hour to help bring up mucus and secretions."
C. "Eat soft foods because swallowing will be more difficult."
D. "Exercise slowly and infrequently to prevent wheezing."
B
Cilia beat toward the throat to aid in moving mucus and secretions to a point where the client can expectorate them. Many medications, fumes, and smoke can inhibit ciliary motion, making re-moval of secretions more difficult.
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The nurse is completing a history on a patient with dyspnea. What characteristic of dyspnea is most indicative of pulmonary disease?
A) Most severe when patient is supine B) Awakens patient from sleep at night C) Accompanied by anginal chest pain D) Most severe with exertion
A patient with a brain tumor is going to have an ablative procedure to treat the mass. A potential reason for this procedure would be:
1. A way to preserve eloquent areas of the brain. 2. The tumor is in an easy-to-reach area of the brain. 3. The tumor is too large to resect. 4. The tumor is small and is in a hard-to-reach area of the brain.
A son brings his father to the clinic and tells the nurse that his father has begun to act strangely in the past few days, with unprovoked outbursts of anger. After the incidents, the father expresses remorse for his outburst
The son says, "I've never seen him act this way." Which question would be most appropriate for the nurse to ask next? A) "Does your father have a history of an anxiety disorder, such as panic disorder?" B) "Has your father exhibited previous problems expressing anger appropriately?" C) "Has your father suffered any traumatic injury to his brain recently?" D) "Has your father injured the back of his head or neck in the past week?"
A patient who inaccurately believes he has stomach cancer is recommended cognitive theory to help address this false believe. Which intervention is most consistent with a cognitive theory approach?
a. Continuing to challenge the patient about the rationality of his belief b. Assisting him to reinterpret the meaning of the sensations his body is creating c. Urging him to have a ‘second opinion' consult with another medical specialist d. Rewarding him with praise and acceptance when he states, "I do not have can-cer."