The nurse is assisting with the care of a patient who is experiencing pulmonary edema. Which finding should the nurse expect to observe?
a. Pedal edema
b. Sacral edema
c. Nausea/vomiting
d. Pink, frothy sputum
ANS: D
Pink, frothy sputum is the classic symptom of pulmonary edema. A. B. C. These are systemic symptoms of heart failure.
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An 85-year-old patient is administered dimenhydrinate (Dramamine). Which of the following is the priority nursing intervention?
A) Encourage fluids with this patient. B) Have the patient void after administration. C) Maintain IV access. D) Protect from injury.
An older adult is having difficulty swallowing. What position should the nurse recommend to aid in swallowing?
a. Chin parallel b. Chin upward c. Chin down d. Chin to the side
Although violence seems endemic in human society, which of the following causative factors could be reduced if society agreed action was necessary? (Select all that apply.)
a. Access to firearms b. Alcohol and other drug abuse c. Dysfunctional families with lack of emotional support d. Intolerance of those with a different religious ideology e. Media video games, television shows, and movies f. Pacifism as a belief system
A young mother who is breastfeeding her infant says, "My friend told me I can't get pregnant again while I am breastfeeding." How should the nurse reply?
a. "That is one advantage of breastfeeding." b. "You can't get pregnant until your menstrual periods begin." c. "Actually, breastfeeding increases your chance of pregnancy." d. "It is possible to become pregnant while breastfeeding."