The client developed a pulmonary embolism. In which area did the embolism most likely originate?
A. Ileum.
B. Lungs.
C. Calf.
D. Popliteal.
Answer: C
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1. The client's skin is cool and dusky. Poor capillary refill noted. Oxygen saturation level is 90% on room air. The client was diagnosed with COPD in 1993. 2. The nurse will apply oxygen at two liters per minute per healthcare provider's orders, when the client's oxygen saturation level is below 92%. 3. The client states, "I am so tired all of the time. I feel like I'm not getting enough air into my lungs." 4. The client is most likely experiencing an exacerbation of a chronic lung disease.
A patient has elevated blood urea nitrogen (BUN) and serum creatinine levels. Which bowel preparation order would the nurse question for this patient who is scheduled for a renal arteriogram?
a. Fleet enema b. Tap-water enema c. Senna/docusate (Senokot-S) d. Bisacodyl (Dulcolax) tablets
An appropriate nursing strategy to assist a patient who was involuntarily admitted after a suicide attempt is::
a. Avoiding any focus on the topic of suicide b. Encouraging patient to verbalize personal feelings c. Supporting patient focus on others rather than self d. Discussing the impact of suicidal thoughts on the family
A client diagnosed with depression states, "Even in high school I was a failure. It's a wonder I was associated with successful friends." The nurse knows this client is making:
1. A hard situation worse. 2. Attributions about his life. 3. Excuses about his present behavior. 4. Assumptions about his friends.