A client with mitral stenosis develops a productive cough with pink, frothy sputum. The best interpretation made by the nurse would be to further evaluate for which complication?
A) Pulmonary edema
B) Congestive failure
C) Thrombophlebitis
D) Cardiogenic shock
A
Feedback:
Cough with productive, pink, frothy sputum and crackles in the bases of the lungs are signs of pulmonary congestion. Pink, frothy sputum would not be present in congestive failure, thrombophlebitis, or cardiogenic shock.
You might also like to view...
The nursing student learns which facts about religion and spirituality? (Select all that apply.)
a. Spirituality focuses on the meaning of life to people. b. Religion and spirituality are mutually exclusive. c. Religion implies an organized way of worship. d. Religion provides the structure by which to understand spirituality. e. Spirituality is an individual practice that does not include others.
The nurse is caring for a patient who is headed to the operating room for abdominal surgery. Which goal is appropriate for the nursing diagnosis risk for Perioperative positioning injury?
a. Patient will deny numbness or tingling in extremities after surgical procedure. b. Patient will maintain urine output of at least 30 mL/hour during and after surgery. c. Patient will maintain elastic skin turgor as well as moist tongue and mucus membranes. d. Patient will have no emesis and deny nausea following arousal from general anesthesia.
What therapeutic effect will the nurse assess for in the male patient taking anabolic steroids?
A) Thinning of the skin B) Body hair loss C) Increase in red blood cells (RBCs) and hemoglobin D) Gynecomastia
A patient has achieved pain control with an oral opioid and is tolerant of its sedative effects but is having severe constipation. The nurse has contacted the healthcare provider about prescribing a different opioid. What should the nurse anticipate regarding the new drug?
1. The new opioid will be administered by the intravenous route. 2. There will be an increased need to observe the patient for sedation. 3. The starting dose of the new medication will be lower than the equianalgesic dose of the original medication. 4. It will be necessary to add an adjuvant medication to achieve equal pain control. 5. The newly prescribed medication will be a pure opioid agonist.