After a posterior nasal pack is inserted by the physician, the client is very anxious and states, "I don't feel like I'm breathing right." The immediate intervention the nurse would initiate is
a. collect a specimen for arterial blood gases (ABGs).
b. cut the pack strings and pull the packing out.
c. inspect the client's oral cavity using a flashlight.
d. reassure the client that this is normal discomfort.
C
The nurse should inspect the oral cavity for the presence of blood, soft palate necrosis, and prop-er placement of the posterior plug. If the posterior plug is visible, the physician is notified for readjustment of the packing. Having posterior packing is very uncomfortable and clients may need both analgesics and anxiolytics to tolerate it. But before medicating the client, a thorough assessment is warranted.
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The nurse knows that a client with prolonged prothrombin time (PT) values (not related to medication) probably has dysfunction in which organ?
a. Kidneys b. Liver c. Spleen d. Stomach
Ammonia, hydrogen, and ammonium are secreted in the
a. loop of Henle. c. glomerulus. b. collecting duct. d. proximal tubule.
The client asks the nurse how Lipitor will help lower cholesterol. Which response by the nurse is most appropriate?
1. Its action is not understood. 2. It makes the body excrete cholesterol quicker. 3. It binds to cholesterol and inhibits its production. 4. It interferes with how cholesterol is made.
The relapse rate for psychotic patients who are not compliant and discontinue their medications is
1. 60–80%. 2. 50–70%. 3. 30–40%. 4. 20–50%.