COPD produces increased work of breathing by which of the following mechanisms?
a. Decreased lung compliance c. Increased atelectasis
b. Decreased chest wall compliance d. Increased airway resistance
D
All of the causes may be present in a COPD patient with other diagnoses. However, COPD increases airway resistance because of obstructions.
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A client receiving chemotherapy has a white blood cell count of 1000/mm3. What actions by the nurse are most appropriate? (Select all that apply.)
a. Assess all mucous membranes every 4 to 8 hours. b. Do not allow the client to eat meat or poultry. c. Listen to lung sounds and monitor for cough. d. Monitor the venous access device appearance with vital signs. e. Take and record vital signs every 4 to 8 hours.
A novice nurse is learning about various tools that nurses may use to aid in therapeutic communication in the nurse-patient relationship. What does the nurse recognize as true regarding the concept of process recording?
1. The purpose is to record the nurse-patient interaction and provide a guideline for therapeutic care. 2. The purpose is to allow the patient to actually hear what the nurse stated in the nurse-patient interaction. 3. The purpose is to allow the nurse to actually hear what the patient heard in the nurse-patient interaction. 4. The purpose is to reflect on and evaluate the dynamics of a specific interaction and to provide a sample of interaction for consideration in supervision or consultation with others.
A nurse is taking care of an adolescent child diagnosed with a leg fracture. What factors does the nurse suspect impacted incidence of the fracture? Select all that apply.
A) Low calcium intake B) Use of corticosteroids C) Insufficient vitamin D D) Low B12 levels E) Low vitamin A levels
The open bed
A. is made when the patient is discharged. B. has the top bedding fanfolded at the foot. C. has the top bedding folded to one side. D. is made with the patient in bed.