The nurse is examining the oral cavity of a patient. Which of the following findings should she be most concerned about?
A) A pool of saliva under the tongue
B) Symmetrical rising of soft palate and uvula when patient says "ah"
C) Fruity breath odor
D) Strong gag reflex
C
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A patient living in the United States for 10 years is distressed about not "fitting in" with American society. What aspects of acculturation will the nurse discuss with this patient?
A. Socialization B. Acculturation C. Assimilation D. Ethnicity E. Heritage consistency
The nurse does medication education for the client with histoplasmosis who receives ketoconazole (Nizoral). The nurse evaluates that learning has occurred when the client makes which statement?
1. "I cannot take this medication longer than 10 days." 2. "I could develop resistance to this medication if I take it too often." 3. "I could develop nausea, vomiting, and abdominal pain with this medication." 4. "I can't take my diabetes medicine with this drug."
What is the initial intervention in a patient with sinus tachycardia with the following vital signs: HR, 136 beats/min; BP, 102/60 mm Hg; RR, 24 breaths/min; T, 99.2° F; SpO2, 94% on oxygen 2 L/min by nasal cannula?
a. Stat adenosine to decrease heart rate b. Identification and correction of the cause of the increased heart rate c. Sublingual nitroglycerine 0.4 mg d. Lidocaine 75 mg IV push
The health status of an older patient with liver disease is rapidly deteriorating. There is no documentation on the medical record regarding the patient's care wishes. What should the nurse do to ensure the patient receives care that is desired at the end of life?
1. Ask social services to provide an advance directive for the patient to complete. 2. Talk with the patient regarding what the patient wants after the hospitalization ends. 3. Call a meeting with the patient, family, and primary care physician to discuss care goals. 4. Discuss the patient's dire situation with the family and find out what their wishes might be.