The nurse is beginning morning care after receiving report. Which patient should the nurse monitor most closely for symptoms of a pulmonary embolism (PE)?
a. A patient who smokes
b. A patient with a deep vein thrombosis in the leg
c. A patient with a history of radiation therapy for lung cancer
d. A patient with chronic obstructive pulmonary disease (COPD)
ANS: B
Clots in the legs can mobilize and move to the lungs. D. COPD is not associated with blood clots. A. Smoking causes many lung disorders but does not directly cause PE. C. History of radiation therapy is not a risk factor for PE.
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Which of the following are risk factors for the Hepatitis A Virus (HAV)? Select all that apply
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A nurse is caring for an adult patient with extensive burns on the front of the trunk, including the genitalia, and the fronts of both legs. How should the nurse document the burn size using the rule of nines?
a. 13% b. 17% c. 25% d. 37%
A child with human immunodeficiency virus (HIV) also has oral candidiasis. Mouth care for this child should be with:
1. Normal saline. 2. Listerine. 3. Scope. 4. Viscous lidocaine.
A patient with schizophrenia has been stable for a year; however, the family now reports the patient is tense, sleeps 3 to 4 hours per night, and has difficulty concentrating. The patient says, "Volmers are hiding in the house."
The nurse can correctly assess this information as an indication of: a. need for psychoeducation b. medication noncompliance c. chronic deterioration d. relapse