The client who has had repeated episodes of pneumonia is attempting to stop cigarette smoking with the use of a nicotine patch. What specific instructions regarding this therapy should the nurse tell the client?
A. "Abruptly discontinuing this patch can cause high blood pressure."
B. "Abruptly discontinuing this patch can cause nausea and vomiting."
C. "Smoking while using this patch increases the risk for pneumonia."
D. "Smoking while using this patch increases the risk for a heart attack."
D
Nicotine constricts blood vessels, increases mean arterial pressure, and increases afterload. Smoking while using a nicotine patch increases afterload to such an extent that the myocardium must work harder (with the coronary arteries constricted) and may cause a myocardial infarction.
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A resident who is described as stuporous is
a. Unable to respond to anything except deep painful stimuli b. Semicomatose c. Able to be aroused, but responds inappro-priately and returns to sleep after stimulus stops d. Lethargic
Which statement by an adolescent boy would require further teaching by a nurse?
A) "Masturbation means that you are a homosexual." B) "It's normal to have intimate feelings toward a member of the same gender." C) "Teenagers are having sex sooner than ever." D) "Sexual needs are basic, instinctive, biological needs of a human being."
When the nursing student identifies the concept of community as client as which of the following the instructor knows that the student has grasped this concept?
A) The community is comprised of individual clients. B) The community is comprised of families. C) The community is a group or population of people as the focus of nursing service. D) The community cannot be a client. Persons who are hospitalized are patients.
The nurse is caring for an 82-year-old female patient in the PACU. The woman begins to awaken and responds to her name, but is confused, restless, and agitated. What principle should guide the nurse's subsequent assessment?
A) Postoperative confusion in older adults is an indication of impaired oxygenation or possibly a stroke during surgery. B) Confusion, restlessness, and agitation are expected postoperative findings in older adults and they will diminish in time. C) Postoperative confusion is common in the older adult patent, but it could also indicate a significant blood loss. D) Confusion, restlessness, and agitation indicate an underlying cognitive deficit such as dementia.