When the nurse observes that the elderly client's anteroposterior chest diameter is increased, she determines that the most likely cause for the abnormality is
A) Acute bronchitis
B) Asthma
C) Chronic obstructive pulmonary disease
D) Pneumonia
Ans: C
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The client with suspected mitral valve prolapse asks the nurse about tests that will be done to confirm the diagnosis. Which is the best response by the nurse?
A) "A halter monitor will be used to confirm diagnosis." B) "An echocardiogram along with clinical symptoms will assist in diagnosis." C) "A chest x-ray will reveal a prolapse if present." D) "An ECG that presents a notched P wave will assist with diagnosis."
A client has been prescribed a lactose-restricted diet by the physician. What should a
nurse assess the client for after ingesting lactose? A) Nausea B) Irritation C) Dizziness D) Cramping
The nurse recognizes the appropriate procedures for sterile asepsis. Of the following, which ac-tion is consistent with sterile asepsis?
1. Clean forceps may be used to move items on the sterile field. 2. Sterile fields may be prepared well in advance of the procedures. 3. The first small amount of sterile solution should be poured and discarded . 4. Wrapped sterile packages should be opened starting with the flap closest to the nurse.
A 56-year-old executive meets with the nurse for education about recently diagnosed atrial fibrillation. He verbalizes concerns about the time he will spend away from his work, and that he is not sure it is necessary to have blood tests every week. He feels it is a waste of time when he does not have any symptoms. Which is the best motivational statement by the nurse for this client?
a. "The medicine and blood work for atrial fibrillation can help prevent blood clots that have the potential to cause debilitating strokes. What have you heard about warfarin therapy?" b. "You have to take your warfarin and go to the clinic every week for a blood draw. It's not the most convenient way to live, but you have to do it." c. "Atrial fibrillation is when your upper heart beats ineffectively and blood clots can go to your brain. Would you like some printed information about this?" d. "Your doctor wants you to take your warfarin every day, go to the clinic every week to have blood drawn, and then wait for any dosage change. Do you understand?"