What instructions should a nurse give to a patient when teaching deep breathing and coughing techniques? (Place the options in the appropriate sequence. Separate letters by a comma and space as follows: A, B, C, D.)
A. Place the hand on the abdomen to check the rise and fall.
B. Inhale through the nose, pause 1 to 3 seconds, and then exhale through the mouth.
C. Assume a semi-Fowler position.
D. Take 4 to 6 deep breaths.
E. Cough deeply.
C, A, B, D, E
The exercise is performed in a sequence to ensure open bronchioles and a good deep cough.
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The client having the intraocular pressure measured asks the nurse why this is necessary every year. What is the nurse's best response?
A. "Elevated eye pressure can cause high blood pressure." B. "If eye pressure is too high, your eyes will bulge forward enough that your lids can't cover them and they will dry out." C. "Elevated eye pressure can press on blood vessels in the eye, keeping eye nerves from getting enough oxygen, which will lead to blindness." D. "Increased eye pressure causes the tear ducts to become blocked so that you have insufficient tears. It is the tears that protect the cornea from abrasions."
Following a stroke, a client has been started on clopidogrel (Plavix). Why is this medication being administered?
1. To prevent stroke in high-risk patients, such as those with prosthetic heart valves 2. To decrease blood pressure 3. To increase blood pressure 4. To provide antiplatelet activity in patients who cannot tolerate aspirin
During contractions, the electronic fetal monitor (EFM) shows variable V-shaped decelerations in the FHR lasting about 30 seconds with accelerations of about 5 bpm before and after each deceleration. Overshoot is absent and the baseline FHR is within normal limits. What should the nurse do first?
A) Help the woman change positions B) Discontinue supplemental oxygen C) Position the woman on her side with a pillow under her left hip D) Start an oxytocic infusion and decrease the rate of IV fluids
You are a public health nurse working at a county immunization and tuberculosis (TB) clinic
B.A. is a 51-year-old woman who wishes to obtain a food handler's license and is required to show proof of a negative Mantoux (purified protein derivative [PPD]) test result before being hired. She came to your clinic 2 days ago to undergo a PPD test for TB. She has returned to have you evaluate her reaction. What is TB, and what microorganism causes it? What is the route of transmission for TB?