A nurse is conducting an assessment of a client who underwent thoracentesis of the right side of the chest 3 hours ago. Which findings does the nurse report to the health care provider?
A. Unequal chest expansion
B. Pulse rate of 82 beats/min
C. Respiratory rate of 22 breaths/min
D. Diminished breath sounds in the right lung
E. Complaints of discomfort at the needle insertion site
Ans: A. Unequal chest expansion
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A nurse is caring for a client with a temporary pacemaker. The client's bedside monitor shows a spike followed by a QRS complex. What would be the nurse's best action?
A. Turn off the pacemaker. B. Decrease the pacemaker threshold. C. Document the finding as the only action. D. Set the pacemaker to the synchronous mode.
A client's spouse becomes anxious and demonstrates hostility toward the nurse. The best response by the nurse is to
a. recognize the spouse feels a sense of control. b. view the hostility as a personal attack. c. become stoic and refrain from listening to the spouse. d. respond empathetically to contributory themes and feelings.
The nurse is working with a woman who is undergoing chemotherapy for breast cancer. The client states, "First, the cancer seemed unreal. Now I feel like I can cope." What is the nurse's best response?
1. "Women with breast cancer often go through several stages of adjustment." 2. "Women with breast cancer cope better than their partners cope." 3. "Women with breast cancer seek multiple opinions before starting treatment." 4. "Women with breast cancer become angry after treatment begins."
Depending on the severity of the patient's signs and symptoms, management of slow rhythms originating from the AV junction may require intervention including _____
a. defibrillation b. intravenous atropine c. synchronized cardioversion d. vagal maneuvers or adenosine, or both