Which finding is most consistent with the nursing diagnosis of Ineffective Breathing Pattern?
a. patient states he feels short of breath
b. patient has difficulty speaking
c. shallow breaths
d. rales and rhonchi
C
Those with an Ineffective Breathing Pattern try to decrease the work of breathing so they will breathe with rapid shallow breaths. Feeling short of breath, difficulty speaking and rales and rhonchi are all associated with the nursing diagnosis of Ineffective Airway Clearance.
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When providing postoperative care for a patient who has undergone limb-sparing surgery to remove a bone tumor, the nurse assesses for which of the following complications from surgery?
A) Nutritional deficiency B) Delayed wound healing C) Loss of body weight D) Pathologic fractures
Which data collected during your assessment may indicate a vaginal wall hematoma?
a. Firm uterus at U-1 b. Pulse rate of 110 bpm c. Moderate lochia d. Soreness of perineum
A patient who has been taking cimetidine
(Tagamet) for hyperacidity calls the clinic to say that the medication has not been effective. The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug? a. He takes the cimetidine with meals. b. He smokes two packs of cigarettes a day. c. He drinks a glass of water with each dose. d. He takes an antacid 3 hours after the cimetidine dose.
A nurse is counseling a client who has just learned that she is a carrier of the BRCA-2 gene. Which of the following best describes potential reactions by this client? (Select all that apply.)
a. Feelings of guilt b. Fear of loss of insurance coverage c. Feelings of anxiety d. Fear for children e. Feelings of insecurity