Which clients are at highest risk for pulmonary embolism (PE)? (Select all that apply)
a. Middle-aged client awaiting surgery
b. Older adult with a 20–pack-year history of smoking
c. Client who has been on bedrest for 3 weeks
d. Obese client who has elevated platelets
e. Middle-aged client with diabetes mellitus type 1
f. Older adult who has just had abdominal surgery
B, C, D, F
Older adults, especially those with chronic lung problems, are at higher risk for pulmonary em-bolism. Prolonged bedrest is also a risk factor, as are abdominal surgery and smoking. Because platelets are involved in the clotting process, elevated platelets may contribute to increased clot-ting. Diabetes and waiting for surgery are not known risk factors.
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A 71-year-old patient is manifesting signs and symptoms of gout. When assessing him for signs and symptoms of gout, the nurse should pay particular attention to
a. dietary intake of foods high in cholesterol. b. mobility in the hip and knee joints. c. edema or discoloration of the great toe. d. a history of trauma or occupational injury.
The nurse is caring for a client who has been prescribed a daily dose of enteric-coated ASA. Which of the following should the nurse inform the client regarding the administration of this drug?
A) It can be cut into pieces. B) It should not be chewed. C) It should not be opened. D) It is available in liquid form.
Crackles or rales on auscultation of lungs
What will be an ideal response?
You can as a change agent by making suggestions for small, ______ changes to ensure the delivery of quality care.
Fill in the blank(s) with the appropriate word(s).