A nurse has approached her supervisor concerning a problem and is asking advice about blowing the whistle on the situation. In questioning the nurse, the supervisor reminds the nurse that blowing the whistle can produce what potential result?
A) Endanger client protection
B) Maintain quality of care
C) Validation of concerns
D) Professional risk
D
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A 65-year-old patient with a history of heart failure comes to the clinic with complaints of "being awakened from sleep with shortness of breath." Which action by the nurse is most appropriate?
a. Obtaining a detailed health history of the patient's allergies and a history of asthma b. Telling the patient to sleep on his or her right side to facilitate ease of respirations c. Assessing for other signs and symptoms of paroxysmal nocturnal dyspnea d. Assuring the patient that paroxysmal nocturnal dyspnea is normal and will probably resolve within the next week
A patient has arterial blood gas testing performed. Her PaO2 is 95 mm Hg, SaO2 is 90%, pH is 7.4, and HCO3 is 23 mEq/L. Which of these values should the nurse be most concerned about?
A) PaO2 B) HCO3 C) pH D) SaO2
A client who is on antiretroviral drugs has developed neuropathy, which may be an adverse effect of the therapy. What advice should the nurse give?
A) Discontinue the drugs immediately and consult a physician. B) Take the drugs only with meals. C) Increase the intake of vitamin B12 and thiamine supplements. D) Reduce the dosage of the drugs.
For a client who is diagnosed with Raynaud's disease, which of the following instructions should a nurse provide to the client to prevent an attack?
A) Report changes in the usual pattern of chest pain. B) Avoid situations that contribute to ischemic episodes. C) Avoid fatty foods and exercise. D) Take over-the-counter decongestants.