The nurse caring for a client with cystic fibrosis would select as the highest priority the nursing diagnosis of
a. Activity Intolerance.
b. Anxiety.
c. Risk for Deficient Fluid Volume.
d. Risk for Ineffective Airway Clearance.
D
The disease process causes tracheobronchial secretions to become thick and viscous, leading to interference with normal ciliary action, plugging of airways, and creation of a reservoir for bacterial growth and infection.
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During a head-to-toe assessment, the nurse assesses the patient's perineal area. Which area should the nurse assess next?
a. Chest b. Arms c. Abdomen d. Legs and feet
A nurse uses a picture to demonstrate the bullae and blebs associated with emphysema. How do blebs differ from bullae? (Select all that apply.)
a. They are between the alveolar spaces in the lungs. b. They are in the lung parenchyma. c. They can rupture, causing the lungs to collapse. d. They are responsible for diaphragm flat-tening. e. They are precancerous.
The federal government has just adopted a requirement regarding the handling and exposure of chemotherapy agents. As a supervisor of an oncology unit, why do you believe that you do not need to take action?
A) The state in which you live has another policy that is more restrictive than the federal policy. B) Your director of nurses told you to ignore the policy. C) You do not think it will be a problem because your nurses are careful when using chemotherapy agents. D) Your state has its own policy, which is less restrictive but supersedes the federal policy.
Which assessment findings related to a 68-year-old patient should be identified as risk factors for late-onset alcohol abuse and dependence? Select all that apply
a. Chronic obstructive pulmonary disease b. Insomnia c. Male gender d. Boredom and loneliness e. Recent loss of spouse