The nurse documents on the patient's chart that he is experiencing orthopnea, which that he is having difficulty breathing:
A) Without use of oxygen
B) While sitting upright
C) With movement
D) When lying flat
Ans: D
Feedback: Orthopnea is defined as difficulty breathing while lying flat. This is a possible complication of heart failure.
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A nurse is teaching a client about ear hygiene and health. What client statement indicates a need for further teaching?
a. "A soft cotton swab is alright to clean my ears with." b. "I make sure my ears are dry after I go swimming." c. "I use good earplugs when I practice with the band." d. "Keeping my diabetes under control helps my ears."
The nurse is reviewing the dosage schedule for several different antiepileptic drugs (AEDs). Which antiepileptic drug allows for once-a-day dosing?
a. Levetiracetam (Keppra) b. Phenobarbital c. Valproic acid (Depakote) d. Gabapentin (Neurontin)
A female patient tells the nurse that she is genetically predisposed to type 2 diabetes. Which of the following is the most important information for this patient?
1. The importance of maintaining a healthy weight and activity level 2. The need to avoid carbohydrate intake 3. The need to begin monitoring daily blood glucose levels 4. The need to address active health problems and not those that have yet to manifest
The hospital administrators are examining the fiscal health of the organization. Which of the following assessments will most likely lead to a change in the services that are provided by the hospital?
1. The percentage of childbearing-aged women in the surrounding community has increased from 34% to 35%. 2. The nurse retention rate has decreased by 5% from 2 years ago. 3. The number of hip replacements that are being performed has increased 30% from 1 year ago. 4. The number of hysterectomies performed at the hospital has decreased by 3% over the last 3 years.