The nurse instructs a patient receiving home O2 therapy to drink plenty of fluids to help keep bronchial secretions liquefied. What is the recommended fluid?
a. Milk
b. Water
c. Tea with artificial sweetener
d. Coffee
ANS: B
Water is the best option. Drinks with caffeine, sugar, or dairy products are not helpful to liquefy secretions.
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The nurse is performing a cardiac assessment and prepares to palpate the client's heartbeat on the client's chest. Which is the correct location for the nurse to use when conducting this assessment?
1. A. 2. B. 3. C. 4. D.
After administering digoxin, what assessment finding would indicate to the nurse that the drug was having the desired effect?
A) Increased heart size B) Increased urinary output C) Decreased respiratory rate D) Increased heart rate
The physician has informed the parents that the results of a hemoglobin electrophoresis performed on their child indicate the presence of hemoglobin S. When the parent asks what this means, the nurse explains:
A) "It is indicative of sickle cell disease or trait." B) "It verifies the presence of hemolytic anemia." C) Hemoglobin S is found in people with pernicious anemia." D) "Hemoglobin S is a type of immature red blood cell."
A child is admitted to the emergency department with a head injury. The nurse makes an assessment and will record which of the following baseline data:
a. Pupil size b. Level of consciousness c. Vital signs d. All of the above