The client is 36 weeks pregnant. The nurse is assessing the client's respiratory system and finds that the respiratory rate is 24 breaths per minute
The client states that she sometimes experiences shortness of breath. Which response by the nurse is the most appropriate?
1. "You have developed asthma during your pregnancy."
2. "During your last trimester, it is normal for you to feel short of breath and to have a faster respiratory rate."
3. "I'm going to have to notify your healthcare provider right now about these findings."
4. "You have been infected with tuberculosis."
Correct Answer: 2
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The nurse is caring for a young adult client after a cervical biopsy. The client has expressed anxiety about the results. The healthcare provider peeks into the client's room and says, "The biopsy is negative."
The nurse later finds the client sobbing. Which response by the nurse is appropriate? A) "What did the healthcare provider tell you about the biopsy?" B) "You seem upset. Do you want to talk to me about the test results?" C) "Why are you crying with such good news?" D) "The term 'negative' in this case is good!"
Your patient, an Orthodox Jew, learns that his only son, after several days of intensive medical treatment, has just died of a sports-related head injury. Your patient reacts by crying and asking why God allows children to suffer and die
You recognize that your patient is grieving and is in a state of acute a. emotional distress most likely due to his loss and feelings of guilt. b. physical exhaustion most likely due to lack of sleep. c. spiritual distress most likely due to long-standing anger toward God. d. spiritual distress most likely due to his painful awareness of human mortality.
The nurse is caring for a client with asthma. The client asks the nurse what structures make up the upper respiratory tract. Which response by the nurse is the most appropriate?
1. The nose, nasal cavity, pharynx, and paranasal sinuses 2. The lungs and associated structures 3. The nose and nasal cavity only 4. The nose, nasal cavity, pharynx, paranasal sinuses, and the lungs
The nurse sees that a patient has been advised by the health care provider to apply lindane (Kwell) to the affected area. What is a self-care measure for this patient to ensure that the symptoms do not return after using the medication?
a. Wash the area daily with hydrogen peroxide b. Take a sit bath for 30 minutes several times a day c. Wash clothes, linens, and disinfect the home environment. d. Remove any irritants or allergens (change detergents)