Which symptoms in chronic lung disease require nursing intervention? (Select all that apply.)
a. Clubbed fingers
b. Increased residual volume
c. Decreased peak flow
d. Increased anterior-posterior diameter
e. Elevated platelets
f. Expiratory wheezing
g. Stridor
h. Change in sputum color and amount
C, F, G, H
Decreased peak flow could indicate worsening of symptoms of airflow occlusion. Likewise, ex-piratory wheezing and stridor can indicate inflammation and fluid accumulation leading to air-way occlusion. A change in the amount and color of sputum can indicate infection. The other symptoms normally occur with chronic disease.
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A nurse is seeking consultation on strategies to cope with the potential for burnout while working on a psychiatric unit. Which of the following strategies demonstrates the nurse's ability to reduce the occurrence of burnout?
1. Focus on paperwork when the stress of listening to the clients becomes too much. 2. Pursue personal needs for social interactions during days off. 3. Take breaks often to relieve internal stress signals. 4. Maintain an accurate awareness of each client's needs throughout inpatient stays.
A client with an infusion pump is to receive an antibiotic in 50 mL of 0.9% NS over 30 minutes. How many mL/hour will the client receive?
Record the answer rounding to the nearest whole number.
The home health care agency that receives federal funds desires to hire a new home health care aide. This aide will provide direct and hands-on care to patients. Which person would meet federal requirements for that position?
1. A nursing assistant who has on-the-job training at a nursing home 2. A nursing assistant who completed a training and competency evaluation program 3. A nursing assistant who has on-the-job training at a hospital 4. A second-semester student enrolled in a registered nursing program
A patient was being worked up for frequent premature ventricular beats. He had been taking quinidine, and 2 days ago, he was admitted for an acute myocardial infarction
His QT interval has been elongating, and the nurse is not surprised to note which dysrhythmia? a. Torsades de pointes b. Supraventricular tachycardia c. Sinus arrhythmia d. Junctional tachycardia