A pt is diagnosed with pneumonia. During auscultation of the lower lung fields, the nurse hears coarse crackles and identifies the pt problem of impaired oxygenation. What is the underlying physiologic condition associated with the pt's condition?
a. Hypoxemia
b. Hyperemia
c. Hypocapnia
d. Hypercapnia
Answer: a. Hypoxemia
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The nurse is with a patient who has learned that he has glioblastoma multiforme, a brain tumor associated with an exceptionally poor prognosis. His heart rate increases, his eyes dilate, and his blood pressure increases
The nurse recognizes these changes as being attributable to what response? A) Part of the limbic system response B) Sympathetic nervous response C) Hypothalamic-pituitary response D) Local adaptation syndrome
The nurse is performing a breast assessment of an Asian adult female. Which action should the nurse complete first?
1. Ask the client if she has ever had any breast disease such as cancer of the breast, fibrocystic disease, or fibroadenoma. 2. Ask the client to disrobe from the waist up and place a gown on with the opening to the front. 3. Ask the client if she has noticed any changes in her breasts such as lumps, thickening, or discharge from the nipples. 4. Ask the client how she feels about her breasts.
After completing the examination of a newly admitted patient, the nurse would document the patient's chief complaint in terms of
a. signs and symptoms. c. the health care provider's own words. b. associated manifestations. d. the nurse's own words.
A patient with amyotrophic lateral sclerosis (ALS) is being visited by the home health nurse who is creating a care plan. What nursing diagnosis is most likely for a patient with this condition?
A) Chronic confusion B) Impaired urinary elimination C) Impaired verbal communication D) Bowel incontinence