You have been asked to give a workshop on COPD for a local community group. When talking about what can be done for patients with COPD, you stress encouraging a COPD patient not to smoke because smoking does what?
A) Increases the amount of mucus production
B) Oxygenates the hemoglobin
C) Shrinks the alveoli in the lungs
D) Collapses the alveoli in the lungs
Ans: A
Feedback: Smoking also irritates the goblet cells and mucous glands, causing an increased accumulation of mucus, which, in turn, produces more irritation, infection, and damage to the lung.
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The order is for 100 mL to run over 8 hours as a "piggyback." The drop factor of the secondary unit is 15. The nurse should set the drop control to deliver _______ gtts/min
ANS:
Which statement by the nurse indicates understanding of the case manager's role? The case manager (Select all that apply.)
a. "guides patients through the health care delivery process.". b. "ensures quicker discharge for patients without insurance.". c. "coordinates care for the patient.". d. "assists patients in achieving goals effec-tively and efficiently.". e. "collaborates with the health care team.".
A patient with cardiogenic shock has the following vital signs: BP 102/50, pulse 128, respirations 28. The pulmonary artery wedge pressure (PAWP) is increased and cardiac output is low. The nurse will anticipate an order for which medication?
a. 5% human albumin b. Furosemide (Lasix) IV c. Epinephrine (Adrenalin) drip d. Hydrocortisone (Solu-Cortef)
Which statement best explains why newborns who are delivered by cesarean birth are at greater risk for respiratory complications than newborns delivered vaginally?
a. In most cases, newborns delivered by cesarean are already in fetal distress before birth. b. A newborn delivered by cesarean does not have the compressions of the birth canal on the chest, which forces fluid from the lungs. c. Without going through the normal birth process, the newborn delivered by cesarean does not produce surfactant. d. Newborns delivered by cesarean do not develop the temporary hypoxia that normally stimulates respirations.