A nurse provides instructions to a client with chronic obstructive pulmonary disease (COPD) about the positions that are most effective in alleviating dyspnea. Which statement by the client indicates a need for further instruction?
A. "I should sit up in my recliner."
B. "I should lie on my right side in bed."
C. "I should sit on the side of my bed and lean on the overbed table."
D. "I should stand with my back and hips against the wall and my shoulders bent slightly forward."
Ans: B. "I should lie on my right side in bed."
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The nurse finds that an infant has stronger pulses in the upper extremities than in the lower extremities and higher blood pressure readings in the arms than in the legs. This could be indicative of what heart defect?
1. Transposition of the great vessels 2. Patent ductus arteriosus 3. Coarctation of the aorta 4. Atrial septal defect
What is the physiological action of tricyclic antidepressants (TCAs)?
A) Inhibiting monoamine oxidase inhibitors that break down norepinephrine B) Inhibiting nerve activity, which prevents over excitability or stimulation C) Blocking the reuptake of serotonin, which increases the levels of norepinephrine D) Inhibiting reuptake of norepinephrine and serotonin
The nurse is caring for 80-year-old patient who has been treated for gastrointestinal bleeding. The family has agreed to withhold or withdraw additional treatment. The patient has a written advance directive specifying requests
The directive notes that the patient wants food and fluid to be continued. The nurse anticipates that several orders may be written to comply with this request, including which of the following? (Select all that apply.) a. "Do not resuscitate." b. Change antibiotic to a less expensive medication. c. Discontinue tube feeding. d. Stop any further blood transfusions.
Which of the following clients with upper respiratory infections should the nurse refer to the health care provider for treatment and supervision include:
a. an 18-year-old college student c. a 55-year-old contractor b. a 35-year-old administrative assistant d. a 75-year-old retired school teacher