A chest CT scan confirms that a patient has bronchiectasis. On which problems should the nurse focus when determining the care this patient will need?
Select all that apply.
1. airway clearance
2. changes in fluid balance
3. ineffective breathing pattern
4. inability to provide self-care
5. insufficient nutritional intake
Correct Answer: 1, 3, 4, 5
Nursing care of the patient with bronchiectasis is similar to that for patients with other obstructive lung diseases. Airway clearance is a primary problem, as is ineffective breathing pattern. Other problems include impaired nutrition and inability to provide self-care. Fluid balance is not a potential problem for the patient with bronchiectasis.
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The nurse documents pitting edema in the bilateral lower extremities of the client. What does this documentation mean?
A) There is excess fluid volume in the interstitial space in areas affected by gravity. B) There is excess fluid volume in the venous system of the lower extremities. C) There is excess fluid volume in the arterial system of the lower extremities. D) There is excess fluid volume in the hepatic system.
In which of the following patients has the order of priorities for nursing diagnoses changed? Select all that apply
A) a patient in a long-term care facility who had a stroke B) a patient who is recovering from a broken leg C) a patient who insists on using the bathroom instead of a bedpan D) a patient who appears confused after taking pain medication E) a pregnant patient whose contractions are progressing as anticipated F) a patient who has wounds that require stitches as well as a concussion
Which daily stressors would an unemployed 24-year-old diagnosed with chronic depression who lives on a family farm most likely experience?
a. Housing, school, and work problems b. Money problems, loneliness, and boredom c. Florid symptoms, odd dress, and bizarre behavior d. Sexual, anger management, and medication problems
Mental health professionals working with clients who have psychiatric problems or drug abuse problems have an obligation to:
a. arrange for continuing care and follow-up of the client b. bill for all services provided to the client in advance c. provide the client with a free copy of all written records, such as the chart d. see the same client in both the inpatient and outpatient settings