Which clinical manifestation in a client with long-standing COPD alerts you to the possibility of cor pulmonale?
A. Pursed-lip breathing occurs when the client is at rest.
B. The client's neck muscles are enlarged and prominent.
C. The client's ECG shows tall, peaked T waves and an absent U wave.
D. Jugular venous distention is present when the client is in a sitting position.
D
Neck veins are normally distended (jugular venous distention) only when a person is supine. Usually, the neck veins flatten when a person sits at a 30-degree angle or higher. Jugular venous distention in a full sitting position is associated with right-sided heart failure, a characteristic of cor pulmonale.
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An echocardiogram reveals an ejection fraction of 55%. On the basis of this information, the patient's cardiac function is
a. adequate. c. moderately decreased. b. mildly decreased. d. severely decreased.
While being comforted in the emergency room,the 7-year-old sibling of a pediatric trauma victim blurts out to the nurse,"It's all my fault! When we were fighting yesterday,I told him I wished he was dead!"
The nurse, realizing that the child is experiencing "magical thinking,"should respond by 1. asking the child if he would like to sitdown and drink some water. 2. sitting the child down in an emptyroom with markers and paper so that they can draw a picture. 3. calmly discussing the catheters,tubes,and equipment that the patient requires and explaining to the sibling why the patient needs them. 4. reassuring the child that it is normalto get angry and say things that we do not mean but that we have no control over whether or not an accident happens.
The nurse giving an allergy desensitization injection to a well-fed 8-month-old child in a subcutaneous injection would: (Select all that apply.)
a. Select a 23-gauge needle b. Inject at a 90-degree angle c. Gently aspirate before injecting the medicine d. Give a maximum of 1 mL e. Give the injection in the abdomen
A public health nurse is conducting research to reduce the occurrence of UTIs among the public. Which of the following patients would have the highest risk for developing a urinary tract infection?
a. A 68-year-old woman with stress incontinence b. A 16-year-old girl who just became sexually active c. A 56-year-old male with frequents complaints of lower abdominal pain d. An 82-year-old woman living in a skilled care nursing facility