The nurse is preparing discharge teaching for a client diagnosed with chronic ob-structive pulmonary disease (COPD). Which nursing statement would be included in this intervention? Select all that apply
a. Are you familiar with pursed lip breathing?
b. It will be necessary to demonstrate postural drainage techniques with a care-giver.
c. We will need to discuss alterations in your diet.
d. Can you explain the purpose of the medications you have been prescribed?
e. There are some things I'd like to discuss about adaptive sexual practices.
ANS: A, B, D, E
Topics that will be included in this client's discharge teaching include pursed lip breathing, postural drainage techniques, medication education, and safe sexual activity. Diet is not generally a factor in this disease process.
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During an abdominal assessment, the nurse tests for a fluid wave. A positive fluid wave test occurs with:
a. Splenomegaly. b. Distended bladder. c. Constipation. d. Ascites.
A client with serious mental illness lives alone in a neighborhood in which she is well accepted as
someone who can baby-sit for an hour or two or who will help with housekeeping chores if someone is ill. The client receives depot medication injections but lately has missed regular clinic appointments, saying "My life is so busy I couldn't find time to come in.". To prevent hospitalization associated with noncompliance with medication regimen, the community mental health nurse should arrange for a. psychosocial club membership. b. assertive community treatment. c. an appointment with a nurse in private practice. d. health maintenance organization authorization for changing to daily oral medication.
Areas of data evaluation on a balanced scorecard include (select all that apply):
a. financial. b. customer. c. environmental. d. learning and growth. e. internal business processes.
A client complains of constipation during the postpartum period. Which nursing intervention would be highest priority to include in the client's plan of care?
a. Drink 3 to 4 glasses of fluid per day. b. Limit activity. c. Eat beans or cabbage. d. Avoid using laxatives for longer than a week.