R.M.'s chest x-ray film reveals bilateral pleural effusions. How do these relate to her
underlying disease? How might they be treated?
What will be an ideal response?
Pleural effusions may result from the chemotherapy or are a common site of distant metastasis
in ovarian cancer. A pleural effusion that is causing respiratory symptoms may be drained using
therapeutic thoracentesis or through a chest tube to immediately improve oxygenation.
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A patient, age 28, has a fractured tibia and fibula. The nurse is performing an assessment of her extremities. The purpose of assessing capillary filling or performing a blanching test is to assess for adequate
a. arterial peripheral circulation. b. cardiac output. c. venous peripheral circulation. d. nutritional deficiency.
Which patient is at most risk for experiencing difficult grieving?
a. The middle-aged woman whose grandmother died of advanced Parkinson's disease b. The young adult with three small children whose wife died suddenly in an accident c. The middle-aged person whose spouse suffered a slow, painful death d. The older adult whose spouse died of complications of chronic renal disease
A nurse teaching a student nurse how to take temperatures with a nonmercury glass thermometer would be correct in stating the following:
A) If the thermometer is stored in a chemical solution, wipe the thermometer dry with a soft tissue, using a firm, twisting motion from the fingers to the bulb. B) Grasp the thermometer firmly with the thumb and the forefinger and, using strong wrist movements, shake it until the chemical line reaches at least 92ºF. C) Read the thermometer by holding it horizontally at eye level, and rotate it between your fingers until you can see the chemical line. D) Leave the thermometer in place for 3 minutes for oral, rectal, and axillary routes or according to agency protocol.
Mrs. Cairns is a 79-year-old woman who has been forced by declining health to move from her apartment to an assisted living facility
Which of the following characteristics of Mrs. Cairns' circumstances would be considered a secondary or extrinsic aging factor? A) Both Mrs. Cairns' father and mother lived to be older than 90 years old. B) Mrs. Cairns is white and of European ancestry. C) Mrs. Cairns is considered to be a highly intelligent woman. D) Mrs. Cairns was the first person in her family to attend university and eventually obtained a PhD.