A 56-year-old client is receiving chemotherapy that has the potential to cause pulmonary toxicity. Which of the following symptoms indicates a toxic response to the chemotherapy?
a) Decrease in appetite.
b) Drowsiness.
c) Spasms of the diaphragm.
d) Cough and shortness of breath.
Answer: d) Cough and shortness of breath.
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When assessing a patient with peripheral arterial occlusive disease (PAOD) of the left leg, the nurse expects to find:
A) Equal pulses in the extremities B) Unequal pulses between extremities C) Equal skin color between extremities D) Warm feet between extremities
An older adult is newly diagnosed with primary hypertension and has just been started on a beta-blocker. The nurse's health education should include which of the following?
A) Increasing fluids to avoid extracellular volume depletion from the diuretic effect of the beta-blocker B) Maintaining a diet high in dairy to increase protein necessary to prevent organ damage C) Use of strategies to prevent falls stemming from postural hypotension D) Limiting exercise to avoid injury that can be caused by increased intracranial pressure
When a nonreassuring pattern of the fetal heart rate is noted and the mother is lying on her left side, what nursing action is indicated?
a. Lower the head of the bed. b. Place the mother in Trendelenburg position. c. Change her position to the right side. d. Place a wedge under the left hip.
Which clinical finding indicates the use of vacuum extraction as a birth method?
a. Mentum presentation of the fetus b. Presence of caput succedaneum c. Maternal exhaustion as a result of ineffective pushing during second stage of labor d. Physician preference