A patient comes to the clinic complaining of a cough that is worse at night but not as bad during the day. The nurse recognizes that this cough may indicate:
a. Pneumonia.
b. Postnasal drip or sinusitis.
c. Exposure to irritants at work.
d. Chronic bronchial irritation from smoking.
ANS: B
A cough that primarily occurs at night may indicate postnasal drip or sinusitis. Exposure to irritants at work causes an afternoon or evening cough. Smokers experience early morning coughing. Coughing associated with acute illnesses such as pneumonia is continuous throughout the day.
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The school nurse is discussing dietary concerns with student members of the track team. Which student statements indicate the need for further instruction?
Select all that apply. 1. "There are no differences in the percentage of body fat needed by girls and boys during the teen years." 2. "The lower I can get my body fat percentage, the better." 3. "The body fat percentage needed by females is higher than that of males." 4. "There are no absolute standards for body fat percentages needed by men and women." 5. "Persons having body fat percentages greater than 20% are at an increased risk for illness."
A 37-year-old is involuntarily committed to outpatient treatment after sexually molesting a 12-year-old child. The patient says, "That girl looked like she was 19 years old." Which defense mechanism is this patient using?
a. Denial b. Identification c. Displacement d. Rationalization
The following are listed on a client's medical record. Which of the following would the nurse identify as a collaborative problem?
A) Temperature—99.6o F B) Impaired skin integrity related to immobility as manifested by 1 cm ulcer on ankle C) PC: Hemorrhage D) Client rates pain as 3 out of 10
The nurse is caring for a client who has medications ordered to be given PO. The client asks the nurse what PO means. What is the best response by the nurse?
1. PO medications are given orally. 2. PO medications are given rectally. 3. PO medications are given intramuscularly. 4. PO medications are given vaginally.