The nurse documents that a prescribed expectorant has been effective for a client. What did the nurse evaluate in this client?
1. Respiratory rate 24 and labored.
2. Audible wheeze upon auscultation.
3. High-pitched cough present.
4. Presence of a productive cough.
Correct Answer: 4
Rationale 1: Expectorants do not affect the respiratory rate.
Rationale 2: Expectorants should improve lung sounds.
Rationale 3: Expectorants should cause a more productive cough.
Rationale 4: Expectorants break up mucus, making it more liquid and easier to cough out.
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Which of the following clinical findings among older adults is most unlikely to warrant further investigation and possible treatment?
A) An 81-year-old male's serum creatinine level has increased sharply since his last blood work. B) A 78-year-old female's GFR has been steadily declining over several years. C) A 90-year-old female's blood urea nitrogen (BUN) is rising. D) An 80-year-old male whose urine dipstick reveals protein is present.
The vaginal discharge following delivery is called lochia. It changes color over time and has different names. The initial discharge is charted by the nurse as lochia:
a. serosa. b. rubra. c. palatine. d. alba.
Which of the following statements most accurately describes the mechanism of action of methe-namine (Hiprex) in treating urinary tract infection?
a. It disrupts bacterial cell wall synthesis. b. It decomposes to formaldehyde in the urine, which is toxic to bacteria. c. It disturbs bacterial DNA synthesis. d. It disturbs intracellular metabolism of bacteria.
When documenting a comprehensive nursing health history, under which variable would the nurse document the client's number of children?
a. Spiritual b. Developmental c. Psychological d. Sociocultural