A nurse observes a patient sitting up in bed, leaning forward with the arms braced against the over-the-bed table. What action by the nurse is best?
a. Assess the patient for a barrel-chest appearance.
b. Palpate the patient's abdomen for tenderness.
c. Inspect the patient's spine for deformities.
d. Ask the patient if he/she is experiencing dizziness.
ANS: A
This patient is sitting in a tripod position, often seen in patients with chronic obstructive pulmonary disease. These patients also often have a barrel-chest appearance, so the nurse assesses for this finding. The other actions are not related to a tripod position.
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Nurses regularly rotate between day shift hours and overnight work hours. Following an overnight shift, nurses frequently exhibit which of the following manifestations? Select all that apply
A) Unable to sleep for a long period of time during the day B) Falling asleep while sitting in front of a computer charting during the night C) Finding it difficult to sleep when they have a night off D) Heightened alertness and reflexes on their drive home after work E) Increased hunger and thirst in the middle of the night
The nurse is caring for an older adult who reports recent urinary incontinence. What is the nurse's understanding about urinary incontinence in the older adult?
A) It is not a normal outcome of aging. B) It is the expected result of muscle atrophy. C) It generally occurs at night only. D) It most commonly occurs with position changes.
A patient who has had a mechanical valve replaced is receiving discharge instructions regarding Coumadin therapy from the nurse. Which of the following patient statements would indicate that the patient understands the teaching?
1. "I will avoid bananas and citrus fruit.". 2. "I will increase fiber in my diet.". 3. "I will avoid crowded environments.". 4. "I will include more salads with my meals.".
Your parents and older siblings are all successful elected officials. After graduation, it is
suggested by many that you should seek office and, in turn, offer you their support. Which best describes the leadership approach being demonstrated? a. Behavioral approach to leadership b. Leadership as a process c. Trait perspective d. Expert power