The nurse is assessing a patient with emphysema. Which assessment finding requires further follow-up with the physician?
a. Clubbing of the fingers
b. Increased anterior-posterior diameter of the chest
c. Hemoptysis
d. Tachypnea
C
Hemoptysis is an abnormal occurrence of emphysema, and further diagnostic studies are needed to determine the cause of blood in the sputum. Clubbing of the fingers, barrel chest, and tachypnea are all normal findings in a patient with emphysema.
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The patient is scheduled to begin treatment with the alpha1-proteinase inhibitor Prolastin. The health care provider should expect to see what type of changes in the patient's vital signs ap-proximately 12 hours after drug administration?
a. Tachycardia b. Hypotension c. Shortness of breath d. Fever
The laboratory notifies the nursing unit that a substantial amount of test data was mistakenly recorded on the wrong patient's medical record two days ago. Who has the authority to alter the patient's record?
1. Anyone with access to the chart who had time to do so 2. Only administrative staff or the patient's primary physician 3. Only laboratory technicians or nurses who care for the patient 4. No one can correct the error; it is a part of the permanent record.
The nurse is designing a study to determine why some patients with diabetes develop foot ulcers while others do not. When reviewing this research question, what should the nurse highlight as the sample population?
1. Patients with diabetes 2. Foot ulcer development 3. Patients with foot ulcers 4. Patients without foot ulcers
The nurse knows that effective communication with children and their parents is critical to providing atraumatic quality nursing care. Which statement accurately describes the communication patterns of children?
A) Communication patterns are similar from one child to the next. B) Children often use more words than adults to describe their fears. C) Children rely more on nonverbal communication and silence. D) Parents more often require affective communication rather than neutral communication.