A patient, newly diagnosed with chronic obstructive pulmonary disease (COPD), calls the clinic and asks the nurse to explain what the newly prescribed medications are for. What would be the most appropriate response by the nurse?

A) "The medications that have been ordered for you are what the physician thinks will help you the most."
B) "The medications that have been ordered for you are to help you breathe easier."
C) "The medications that have been ordered for you are designed to work together to help you feel better."
D) "The medications that have been ordered for you are to help relieve the inflammation and promote dilation of the bronchi."


D
Feedback:
Drug treatment of asthma and COPD aims to relieve inflammation and promote bronchial dilation. The other options do not give the patient information about the use of these new medications.

Nursing

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The patient has been diagnosed as having gouty arthritis. The patient asks the nurse to explain the cause of the inflammation of the great toe. What is the most appropriate nursing response?

a. "You have calcium oxalate deposits that are seen in gouty arthritis." b. "The inflammation is from small accumulations of uric acid crystals, which are called tophi." c. "The small nodules are not related to the arthritis condition." d. "You have fat deposits that are common with gouty arthritis."

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The nurse researcher is training interviewers to collect data for a study using structured interviews. What information should the researcher include in this training?

1. The interview may start with a general question/statement to put the subject at ease. 2. The interviewer determines the order of the questions asked. 3. Additional questions or probes are encouraged. 4. Subtle changes may be made in the wording of questions subject to subject.

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After an institutional project has been developed, the next step is to conduct a pilot study (a trial study). Based on the Iowa Model, which step would identify the success or failure of a pilot study?

A) Developing an evaluation plan B) Measuring client outcomes prior to implementation C) Training relevant staff in the use of the new guideline D) Evaluating the project in terms of both the process and the outcomes

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A woman in active labor is given nalbuphine hydrochloride (Nubain) 14 mg IV for pain relief. Half an hour later, her respirations are at 8 per minute. The physician would likely order which medication for this patient?

1. Narcan 2. Reglan 3. Benadryl 4. Vistaril

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