The nurse is assessing an adult patient following a motor vehicle accident. The nurse observes that the patient has an increased use of accessory muscles and is complaining of chest pain and shortness of breath
The nurse should recognize the possibility of what condition?
A) Pneumothorax
B) Anxiety
C) Acute bronchitis
D) Aspiration
Ans: A
Feedback:
If the pneumothorax is large and the lung collapses totally, acute respiratory distress occurs. The patient is anxious, has dyspnea and air hunger, has increased use of the accessory muscles, and may develop central cyanosis from severe hypoxemia. These symptoms are not definitive of pneumothorax, but because of the patient's recent trauma they are inconsistent with anxiety, bronchitis, or aspiration.
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A patient is being administered heparin IV and has been started on warfarin (Coumadin). The patient asks the nurse why she is taking both medications. What is the nurse's most accurate response?
A) "After a certain period of time, you must start warfarin and heparin together." B) "You will need both warfarin and heparin for several days." C) "Warfarin takes 3–5 days to develop anticoagulant effects, and you still need heparin." D) "Warfarin cannot be given without heparin due to the amount of clotting you need."
The physician and advanced practice nurse are considering which antipsychotic medication to prescribe for a patient with schizophrenia who demonstrates auditory hallucinations, apathy, anhedonia, and poor social functioning
The patient is overweight and has hypertension. Bearing these facts in mind, the drug the nurse should advocate would be: a. clozapine (Clozaril). b. haloperidol (Haldol). c. olanzapine (Zyprexa). d. aripiprazole (Abilify).
The nurse researcher is following the Iowa Model of Evidence-Based Practice to identify a topic for a new research study. The researcher wishes to study a knowledge-focused topic
Which option(s) meet(s) that criterion? Standard Text: Select all that apply. 1. Increase in patient falls. 2. Results published in a recent journal. 3. A change in national standards for a nursing specialty. 4. Medication errors. 5. A question about the efficacy of a standard nursing intervention.
A 16-year-old primipara delivers a 6-pound, 5-ounce baby vaginally without complications. The client's culture for chlamydia at 34 weeks was positive, but she did not get the prescription filled to treat the infection
Discharge teaching for this client should include monitoring her baby for a. oral thrush c. respiratory symptoms b. poor feeding d. skin rash