A nurse caring for a patient recently diagnosed with lung disease encourages the patient not to smoke. What is the rationale behind this nursing action?
A) Because smoking decreases the amount of mucus production
B) Because smoking oxygenates the hemoglobin
C) Because smoking inflates the alveoli in the lungs
D) Because smoking damages the ciliary cleansing mechanism of the respiratory tract
Ans: D
Feedback: Smoking damages the ciliary cleansing mechanism of the respiratory tract. Smoking also increases the amount of mucus production, reduces the oxygen-carrying capacity of hemoglobin, and distends the alveoli in the lungs.
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An unconscious client is brought to the emergency department after ingesting too much prescribed medication. Which of the following is the highest priority nursing intervention?
A) Call family members. B) Establish IV access. C) Administer antacids. D) Establish a patent airway.
The IOM report The Future of Nursing: Leading Change, Advancing Health contained all of the following messages about the roles nurses should play EXCEPT
A. Be full partners, with physicians and other healthcare professionals, in redesigning healthcare in the United States B. Maintain command-and-control management over nurse assistants C. Achieve higher levels of education D. Practice to the full extent of their training and education
A client is ordered to receive iron and antacids. The nurse teaches the client that iron and antacids should be administered:
a. at the same time. b. 2 hours apart. c. with the antacid first. d. with the iron first.
The nurse is caring for a newborn born to a drug-addicted mother. Which of the following assessment findings would be common for this newborn?
1. Hyperirritability 2. Decreased muscle tone 3. Exaggerated reflexes 4. Depressed respiratory effort 5. Transient tachypnea