A client being treated for emphysema has a chronic productive cough. The nurse would assess a characteristic feature of clients with long-term emphysema, which is
a. barrel chest.
b. broken vessels in the nose.
c. erythematous ear lobes.
d. pectus excavatum.
A
Barrel chest occurs when the chest anteroposterior (AP) measurement is increased and equals the transverse measurement. It is a characteristic finding in clients with chronic disorders that inter-fere with ventilation (e.g., emphysema).
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Which of the following preventable health problems is the cause of more deaths, illnesses, and disabilities than any other?
a. Use of tobacco b. Obesity c. Sexually transmitted diseases (STDs) d. Substance abuse
It has been determined that a patient who received hematopoietic stem cell transplantation is having poor functioning of the graft. Which of the following can be done to help this patient?
1. administer corticosteroids 2. administer erythropoietin and plan for a second stem cell infusion 3. administer platelets 4. administer red blood cells
When providing care to patients, nurses use evidence-based practice whenever they:
a. Advise patients with musculoskeletal back pain to continue normal daily activities within limits of their pain tolerance. b. Advise patients with musculoskeletal back pain to remain on bedrest until pain has been relieved by prescribed back exercise. c. Advise patients that early premature activity with musculoskeletal pain may lead to permanent disability. d. Advise patients that continued normal activity after a musculoskeletal back injury may result in delayed return to work.
A patient with severe injuries is irritable, angry, and belittles the nurses. As a nurse changes a dressing, the patient screams, "Don't touch me! You are so stupid. You will make it worse!"
Which intervention uses a cognitive technique to help the patient? a. Wordlessly discontinue the dressing change, and then leave the room. b. Stop the dressing change, saying, "Perhaps you would like to change your own dressing." c. Continue the dressing change, saying, "Do you know this dressing change is needed so your wound will not get infected?" d. Continue the dressing change, saying, "Unfortunately, you have no choice in this because your doctor ordered this dressing change."