The client is scheduled to receive acetylcysteine (Mucomyst) 20% solution diluted in 0.9% normal saline by nebulizer. Which of the following outcomes would the nurse expect to see as a result of the administration of this medication?
1. Bronchodilation
2. Decreased coughing
3. Absence of wheezing
4. Thinning of respiratory secretions
4
Rationale: Acetylcysteine is administered to thin bronchial secretions and is considered a mucolytic. The other three options are the outcomes of respiratory medication therapy, but not of acetylcysteine.
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The nurse monitors an at-risk patient closely for ARDS being vigilant for the first sign, which is
A) fibrosis. B) pulmonary edema. C) impaired healing. D) inflammation.
A gerontologic nurse has been working hard to change the perceptions of the elderly, many of which are negative, by other segments of the population. What negative perceptions of older people have been identified in the literature? Select all that apply
A) As being the cause of social problems B) As not contributing to society C) As draining economic resources D) As competing with children for resources E) As dominating health care research
If a previously frostbitten area becomes frostbitten again after it has healed, what might occur?
a. Permanent tissue damage may occur, resulting in necrosis to that body part. b. The area will be super sensitive. c. The area is prone to a repeat frostbite. d. The area is as susceptible as any other area.
The nurse has established peripheral IV access and begun an infusion of magnesium sulfate on a 29-year-old antepartum patient who is 35 weeks pregnant. Which of the following assessment findings most likely prompted the patient's physician to order magnesium sulfate for this patient?
A) Decreased level of consciousness with a sudden onset
B) The presence of rales and rhonchi and oxygen saturation less than or equal to 80% on room air
C) Maternal bradycardia accompanied by a prolonged QT interval
D) Systolic blood pressure readings in excess of 190 mmHg