The client with long-standing pulmonary problems is classified as having class III dyspnea. Based on this classification, what type of assistance will you need to provide for ADLs?
A. Dyspnea is minimal and no assistance is required.
B. The client may complete activities of daily living without assistance but requires rest periods during performance.
C. The client is severely dyspneic with activity and requires assistance for some but not all tasks.
D. The client is severely dyspneic at rest and cannot participate in any self-care.
B
Class III dyspnea occurs during usual activities, such as showering, but the client does not re-quire assistance from others. Dyspnea is not present at rest.
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To withdraw medication from an ampule, the nurse should open the ampule by:
a. placing a tissue around the neck and snapping the top off carefully b. filing the neck and snapping the top while wearing gloves c. wrapping a sterile gauze pad around the neck and snapping the top off away from oneself d. placing the neck on a solid surface and tapping it gently with a sterile clamp
When caring for older adult clients, nurses should remember to include assessment of these clients' strengths, such as their:
a. awareness of their surroundings c. cognitive health b. short-term memory d. recognition of pa-triotism
A nurse is planning nursing interventions for disabled individuals living in poverty. Which of the following factors should be taken into consideration? (Select all that apply.)
a. This population may have difficulty se-curing employment. b. This population may have less access to health care. c. This population is better able to use com-munity resources. d. This population may make healthier life-style choices. e. This population is more independent.
While eating in the hospital cafeteria, the nurse sees a visitor display the "universal sign of choking." Her first action is to:
a. Page a "Code Blue" emergency. b. Immediately perform five abdominal thrusts. c. Assess for ineffective breathing by asking, "Are you choking?" d. Deliver four sharp back blows between the scapulae.