Which client should the nurse assess first?
a. The client whose respiratory rate is 26 breaths per minute and whose trachea deviates to the right
b. The client who has pleuritic chest pain, bilateral crackles, a productive cough of yellow sputum, and fever
c. The client who is short of breath, using pursed-lip breathing, and in a tripod position
d. The client whose respiratory rate is 20 breaths per minute has 8-word dyspnea and expiratory wheezes
ANS: A
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When collecting a client's drug history, the nurse recognizes that both bone and muscle function can be most impaired if the client reports taking:
1. aspirin. 2. oral hypoglycemic agents. 3. corticosteroids. 4. potassium-sparing diuretics.
In the older adult, cardiac dysrhythmias are most commonly associated with
A) loss of cells in the sinoatrial nodes. B) increased peripheral resistance. C) hypertension. D) atherosclerosis.
A client has been diagnosed with myxedema from long-standing hypothyroidism. What clinical manifestations of this disorder does the nurse recognize are progressing to myxedema coma? Select all that apply
A) Hypothermia B) Hypertension C) Hypotension D) Hypoventilation E) Hyperventilation
The nurse has just completed an admission interview with a new client. Which response by the nurse is an example of a remark used during the closing phase of the interview?
1. "I'm going to set up your physical assessment now. Do you have any questions?" 2. "Tell me more about how you feel." 3. "Could you give examples of what types of other treatments you've had?" 4. "Is there anything you're worried about?"