What should a nurse ensure as a priority for a patient immediately after a CVA?
a. Preservation of motor function
b. Airway maintenance
c. Adequate hydration
d. Control of elimination
B
Adequate oxygenation prevents hypoxemia, which can extend and worsen effects of the CVA.
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A nurse teaches a client who has open vocal cord paralysis. Which technique should the nurse teach the client to prevent aspiration?
a. Tilt the head back as far as possible when swallowing. b. Tuck the chin down when swallowing. c. Breathe slowly and deeply while swallowing. d. Keep the head very still and straight while swallowing.
The nurse provides patient teaching about chlorzoxazone (Paraflex) in preparation for the patient's discharge to home. The nurse evaluates the patient understands potential adverse effects when the patient makes what statement?
A) "This drug can cause diarrhea." B) "My urine may turn orange to purple red while taking this drug." C) "My skin may turn yellow but that will go away when I stop taking the drug." D) "After I take a pill it will take 2 to 3 hours before I feel the effects."
When a disease results in a structural change in an organ that interferes with its functioning, this is a(n):
a. functional disease. b. organic disease. c. acute disease. d. chronic disease.
The nurse is assessing a new admission who is 90 years old and is diagnosed with tuberculosis. The nurse plans to assess this client realizing that the older client may present with symptoms in which of the following ways?
1. Hemoptysis and fever 2. Night sweats 3. Coughing 4. Complaints of joint and bone pain