The nurse is performing an occupational history as part of the respiratory assessment. Which occupation(s) place the patient at increased risk for an occupational lung disorder? (Select all that apply.)
a. A firefighter
b. A cotton gin worker
c. A construction contractor
d. A bartender
e. A landscaper
A, B, C
Firefighters, cotton gin workers, and construction contractors all come into contact with occupa-tional hazards that could increase risks for lung disorders. Coal dust, dust from hemp, flax, and cotton processing, and exposure to silica in the air all can cause work-related lung disorders. As-bestos exposure may cause mesothelioma and scarring of lung tissue. The other exposures cause obstruction of small airways or scarring and loss of elasticity and compliance. A bartender and landscaper are not at increased risk of occupational lung disorders.
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A nurse is teaching a larger female client about alcohol intake and how it affects hypertension. The client asks if drinking two beers a night is an acceptable intake. What answer by the nurse is best?
a. "No, women should only have one beer a day as a general rule." b. "No, you should not drink any alcohol with hypertension." c. "Yes, since you are larger, you can have more alcohol." d. "Yes, two beers per day is an acceptable amount of alcohol."
The nurse, caring for a patient with myocardial damage, would expect which change on the ECG tracing?
1. ST segment elevation 2. Loss of P waves 3. Bradycardia 4. Widening of the QRS complex
The nurse is receiving report on a patient with a nursing diagnosis of activity intolerance. What would be an appropriate nursing intervention for this patient?
A) Use footwear that facilitates walking and prevents injury B) Promote reconditioning C) Use assistive devices D) Ask for input on habits and preferences
A client diagnosed with generalized anxiety states, "I know the best thing for me to do now is to just forget my worries." How should the nurse evaluate this statement?
A. The client is developing insight. B. The client's coping skills are improving. C. The client has a distorted perception of problem resolution. D. The client is meeting outcomes and moving toward discharge.