Upon auscultation of the chest, the nurse reports to the preceptor what is heard. About which statement should the preceptor be most concerned?
1. "I heard crackles earlier, but now I am not able to hear anything.".
2. "I hear wheezing in the right lobes, but clear on the left.".
3. "There are coarse crackles that clear with coughing.".
4. "The client was clear, but now there are scattered wheezes bilaterally.".
"I heard crackles earlier, but now I am not able to hear anything.".
Rationale: The preceptor would be most concerned about the nurse not hearing anything. This statement needs immediate follow-up assessment as to whether the nurse hears nothing, or no adventitious breath sounds. The other options indicate adventitious breath sounds, but none is indicative of the need for immediate action.
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The patient's temperature has reached 103.4° F. The nurse prepares to draw a blood culture before giving the patient an antipyretic medication. What is the best reason to draw a blood culture before giving an antipyretic medication?
a. The causative organism is most prevalent during a spike in temperature. b. Elevated temperatures slow metabolic rate and improve blood oxygenation. c. Increased blood flow leads to moist mucous membranes making blood draws easier. d. Venous distention is greater because of fluid retention secondary to hyperthermia.
A client with a complete heart block receives a permanent pacemaker. Which of the following discharge instructions should be given by the nurse?
A) "Do not fly on commercial airplanes as long as you have the pacemaker." B) "You will be taught to take your pulse, and should check it daily when you get home." C) "Do not use a microwave to cook your food even if you stand 10 feet from the oven." D) "Do not use your right arm for six weeks to avoid injury to the pacemaker incision."
The physician approaches the client with a treatment plan for his cancer. The client states that his life is in God's hands and refuses conventional treatment. This is an example of:
A) Fatalistic behavior B) Denial C) Anger D) Bargaining
What is the primary focus of disease management programs?
1. Curing the disease 2. Reducing the need for medications 3. The whole patient 4. Learning more about the disease