A nurse is caring for a 73-year-old woman who just arrived on the medical surgical floor following a radical mastectomy for breast cancer. The nurse will encourage the patient to cough and breathe deeply to help prevent what?
A) Atelectasis
B) Asthma
C) Bronchiectasis
D) Sinusitis
A
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Atelectasis most commonly occurs as a result of airway blockage, which prevents air from entering the alveoli, keeping the lung expanded. This occurs when a mucous plug, edema of the bronchioles, or a collection of pus or secretions occludes the airway and prevents the movement of air. Patients may experience atelectasis after surgery, when the effects of anesthesia, pain, and decreased coughing reflexes can lead to a decreased tidal volume and accumulation of secretions in the lower airways. Asthma, bronchiectasis, and sinusitis are not directly related to surgery but instead result from other conditions.
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A) Using a stethoscope for auscultating the fistula is contraindicated. B) The patient feels best immediately after the dialysis treatment. C) Taking a blood pressure reading on the affected arm can cause clotting of the fistula. D) The patient shouldn't feel pain during initiation of dialysis.
A mother comes to the clinic with her 7-year-old son who has had a cold for 2 days. She has been giving the child an over-the-counter preparation for his cough. The mother tells you the child has been very hyperactive since his illness
As the nurse assessing this patient, you would tell the mother: 1. "Keep him busy, and he will soon get tired and fall asleep." 2. "All children act this way when they are ill and want attention." 3. "Over-the-counter medication may cause reactions in children." 4. "Over-the-counter medication is not strong enough to cause a reaction."
The nurse is teaching an 11-year-old girl and her parents how to administer growth hormone injections. The nurse knows that which of the following interventions will promote the best response to therapy? Select all that apply
1. Give the injections in the morning before breakfast 2. Rotate injection sites each day 3. Strict adherence and minimal doses missed 4. Follow up appointments every 3 to 4 months to monitor growth progress and dose adjustment
A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the
A) Nursing personality B) Past history C) Media D) Genetics