The nurse is assessing an older adult who has smoked for the past 47 years and has been diagnosed with chronic obstructive pulmonary disease. Which of the following would the nurse expect to see upon physical examination of the patient?
a. Pallor and hardening of the nail bed
b. Jaundice in the nail bed
c. An angle greater than 160 degrees be-tween the nail and nail bed
d. An angle less than 160 degrees between the nail and nail bed
C
Inspection of the angle between the nail and nail bed normally reveals an angle of 160 degrees. A larger angle and softening of the nail bed indicate chronic oxygenation problems. An ongoing bluish or purplish cast to the nail bed occurs with cyanosis. A white cast or pallor results from anemia. Observe for jaundice (yellow-orange), which indicates liver disease.
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An older man who has hyperuricemia complains of severe pain in the right ankle. Which instructions should the nurse include in patient teaching to enhance the action of the medication the patient takes for his condition? (Select all that apply.)
a. Avoid dehydration by drinking water. b. Take aspirin when joints are red and hot. c. Comply with antihypertensive diuretic regimen. d. Avoid game meat, asparagus, and alcohol.
A client expresses interest in developing a plan to promote optimal health in her spouse, her children, and herself. What guidance should the nurse provide?
1. "A good first step is to investigate your family medical histories." 2. "It is going to be very hard to enforce the rules with your children." 3. "Since your children are already teenagers you have almost waited too late." 4. "Unless there is something in your family history of concern, I would not be too worried."
The nurse observes the patient during a major abdominal dressing change for signs of pain and discomfort. Which of the following facets of pain can be observed by the nurse during this procedure?
1. pain behaviors 2. nociception 3. pain 4. suffering
A patient who has just delivered her baby asks the nurse if she needs to continue taking her iron supplement. What instruction will the nurse provide to the patient?
a. "Continue taking iron for 6 more weeks." b. "Stop taking the iron supplement now." c. "Take the iron supplement while nursing." d. "Take the iron only if your hemoglobin is low."