The nurse notes that a patient has developed a cough productive for mucoid sputum, shortness of breath, cyanotic hands, and noisy, moist-sounding, rapid breathing. These symptoms indicate:
A) Pericarditis
B) Heart failure
C) Pulmonary edema
D) Right ventricular hypertrophy
Ans: C
Feedback: Pulmonary congestion, peripheries becoming cyanotic and cool, fatigue, an increase in weight, activity intolerance, and a cough productive for mucoid sputum are associated with pulmonary edema.
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A client reports drinking 48 oz of water on a visit to the clinic
How many mL did the client drink? _________ mL
The client with diabetes who is just starting on insulin therapy wants to know why more than one injection of insulin each day will be required. What is the nurse's best response?
A. "You need to start with multiple injections until you become more proficient at self-injection." B. "A single dose of insulin each day would not match your blood insulin levels and your food intake patterns closely enough." C. "A regimen of a single dose of insulin injected each day would require that you could eat no more than one meal each day." D. "A single dose of insulin would be too large to be absorbed predictably, so you would be in danger of unexpected insulin shock."
What should be the emergency department nurse's next action when a 6-year-old child has a systolic blood pressure of 58 mm Hg?
a. Alert the physician about the systolic blood pressure. b. Comfort the child and assess the respiratory rate. c. Assess the child's responsiveness to the environment. d. Alert the physician that the child may need intravenous fluids.
When bathing a patient, pay particular attention to skin areas that ____________________ each other.
Fill in the blank(s) with the appropriate word(s).