The older adult patient with long-term emphysema complains of a sharp pleuritic pain after a severe period of coughing
The patient's heart rate and respiratory rate have increased. Auscultation reveals no breath sounds on the left side. These are signs and symptoms of what condition?
a.
Pulmonary embolus
b.
Spontaneous pneumothorax
c.
Early signs of unilateral pneumonia
d.
An attack of asthma
ANS: B
Spontaneous pneumothorax can be caused by a ruptured bleb in a patient with long-term emphysema. The disorder causes chest pain, dyspnea, and anxiety associated with air hunger.
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A patient with autoimmune hemolytic anemia is not responding to conservative treatments. His condition is now becoming life threatening. The nurse is aware that a treatment option in this case may include:
A) Hepatectomy. B) Vitamin K administration C) Platelet transfusion D) Splenectomy
The community mental health nurse calls on a highly suspicious psychiatric client, saying "I'm a
nurse from the mental health center. I'd like to come in and find out how you're doing.". The client refuses to allow the nurse access to her apartment, saying "My neighbor talks to me every day. I don't know you. You could be from the IRS or the CIA. The less you know about me, the better.". The best initial intervention for the nurse to take to try to gain access would be to a. ask the client's neighbor to go with her. b. have the police accompany her. c. deny a relationship with the IRS or CIA. d. mention the client will have to go to the hospital unless she sees the nurse.
What increases the risk of falling for a patient diagnosed with Parkinson disease?
a. Quick movements b. Unsteady, shuffling gait c. Hemiparesis d. Frequent loss of consciousness
The nurse is preparing the education for a client prescribed chlorothiazide (Diuril). Which information should the nurse include in the teaching?
A. Consumption of foods high in potassium B. Assessment of blood glucose daily C. Daily weights with a report of a gain of more than 1 pound in 24 hours D. Report change in hearing