A client overhears a nurse describe someone as an SOB. When the nurse comes into the client's room, the client asks the nurse to please tell him if he is being an SOB. What does this information communicate to the nurse?
a. The client was eavesdropping on a conversation.
b. The client does not understand that SOB means shortness of breath.
c. The client realizes that he is needy and being a pest.
d. The nurse should close the client's door.
ANS: B
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The nurse is performing a physical assessment on a client in an outpatient clinic. The nurse is inspecting and palpating the client's face, skin folds, axillae, palms, and soles of the feet. The nurse determines the client is diaphoretic
Which client statement supports this finding? Select all that apply. 1. "Your elevator is out and I had to climb three flights of stairs." 2. "I've been running a fever for the last few days." 3. "I think I have hypothyroidism." 4. "I'm in a lot of pain today." 5. "I heard a rumor at work yesterday that layoffs were inevitable."
The patient has been diagnosed with hyperthyroidism. The nursing diagnoses that best applies is:
1. Hypothermia related to increased metabolic processes. 2. Constipation related to increased hormonal stimulation. 3. Disturbed Body Image related to weight gain. 4. Disturbed Sleep Pattern related to metabolic disturbance.
To promote self-care, the nurse should help the pregnant client understand that nausea can be relieved by:
1. The intake of spicy foods. 2. Avoiding eating until 2 hours after rising. 3. Eating small, frequent meals. 4. Avoiding carbonated beverages.
The mechanically ventilated client requires increasing PEEP for worsening ARDS. The order for PEEP is now at 20 cm of H2O. The nurse will need to contact the health care provider immediately if the client develops which of the following?
1. Lung sounds greater on one side than the other 2. Lung sounds with crackles 3. Diminished peripheral pulses 4. High-pressure alarm