The nurse is instructing a client on the impact of cigarette smoking and the development of hypertension. Which of the following would not be appropriate for the nurse to include in these instructions?
1. Tobacco damages the lining of the artery walls.
2. Tobacco temporarily constricts blood vessels, increasing pulse and blood pressure.
3. Tobacco thins the blood and makes the person at risk for bleeding.
4. Carbon monoxide in tobacco smoke replaces the oxygen in the blood, forcing the heart to work harder to supply oxygen.
3
Tobacco and smoking have been shown to increase heart rate and blood pressure because of vasoconstriction and the accumulation of plaque on the artery walls. Because of the replacement of oxygen with carbon monoxide from tobacco smoke, the heart has to work harder to supply oxygen to the organs. There is no evidence that smoking thins the blood and causes bleeding.
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Select normal findings for the mouth
1. caries, swollen gums, bleeding 2. shiny, moist, pink tongue 3. receding gum line, smooth and white tooth enamel 4. parotid gland redder than mucous membranes
Which intervention would best support a client who relates a feeling of "loss of control" after having a mild stroke?
a. Explain that such feelings are normal, but that expectations for rehabilitation must be realistic. b. Encourage the client to perform as many tasks as possible and to participate in de-cision making. c. Further assess the client's mental status for other signs of denial or psychopathology. d. Obtain an order for physical and occupa-tional therapy evaluations.
A nurse who works in a long-term care facility has noticed that one of the residents has been forgetting names of staff members and has not been doing some of the cares that this resident was able to do just in the week prior
The nurse should: A) Instruct the staff to be extra attentive, as this person needs more assistance. B) Investigate for possible physiologic problems. C) Inform the resident's family that the resident probably has some form of dementia. D) Remember that memory loss is a normal, age-related change.
Which of the following create a higher risk for digoxin toxicity? Both the cause and the reason for it must be correct
1. Older adults because of reduced renal function 2. Administration of aldosterone antagonist diuretics because of decreased potassium levels 3. Taking an antacid for gastroesophageal reflux disease because it increases the absorption of digoxin 4. Doses between 0.25 and 0.5 mg/day