A terminally ill patient experiencing dyspnea reports a feeling of suffocation. What can the nurse do to assist this patient?
A. Provide additional intravenous fluids.
B. Assist the patient to a sitting position out of bed.
C. Keep the room cool with a slight breeze.
D. Increase the heat in the room.
Answer: C
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A client being treated for a myocardial infarction has been transferred from the intensive care unit to
a step-down unit. She uses the call bell as often as every 15 minutes. She makes a seemingly small request or complains each time a staff member is summoned. Several staff tell the primary nurse that the client is "obnoxious" and that they feel inadequate because they can never seem to satisfy her needs. The primary nurse decides to intervene directly with the client. The most appropriate way to begin problem solving would be to say a. "I am wondering if you are feeling anxious about your condition and being left alone.". b. "The staff are concerned that you are not satisfied with the care you are receiving.". c. "Let's talk about why you use your call light so frequently.". d. "I think you are giving staff a negative message.".
What assessment indicates fetor hepaticus?
A. Purpuric lesions on the extremities B. A fruity or musty breath odor C. Warm and bright red palms D. Jaundice of the sclera
When using a monofilament to assess sensory function, the nurse:
a. uses two simultaneous monofilaments on similar bilateral points and then compares results. b. applies both a monofilament and a pin on similar bilateral points and then compares results. c. applies pressure to the monofilament until the filament bends. d. strokes the monofilament along the skin from proximal to distal areas.
A patient taking warfarin (Coumadin) has mild to moderate pain after exercising. Which over-the-counter pain reliever should you recommend?
a. Aspirin (Bufferin) b. Ibuprofen (Advil) c. Naproxen (Aleve) d. Acetaminophen (Tylenol)