A client is admitted with cirrhosis and hepatopulmonary syndrome. Which clinical manifestation does the nurse monitor for progression or resolution of this problem?

a. Right upper quadrant pain
b. Crackles on auscultation
c. Skin and scleral jaundice
d. Nausea and vomiting


B
An increase in intra-abdominal pressure from ascites can lead to hepatopulmonary syndrome. This is manifested by dyspnea and crackles on auscultation. The other symptoms are consistent with liver disease but are not specific to respiratory involvement.

Nursing

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A community health nurse is speaking to a group of parents of incoming college freshmen who will be living in the dormitories

The focus of the program is on the college health program, health issues, and immunizations. Which immunization would the nurse most strongly encourage the students to receive if they have not received it previously? A) Varicella virus vaccine B) Human papillomavirus vaccine C) Meningococcal vaccine D) Influenza vaccine

Nursing

Services that involve telecommunications in health care delivery had their beginnings in the

a. 1940s c. 1960s b. 1950s d. 1970s

Nursing

A health care provider calls a nursing unit to leave a telephone order for a PRN antipyretic medication for a child. The provider tells the nurse to "give PO acetaminophen for a fever greater than 101° F per protocol."

What will the nurse do next? a. Ask the provider to verify how many mg per kg per dose and how frequently to give the medication. b. Look up the protocol in the unit manual and write the drug order for the provider to sign. c. Provide the child's weight to the hospital pharmacist to write the order based on the protocol. d. Transcribe the verbal order to the order sheet as "give PO acetaminophen for a fever greater than 101° F per protocol."

Nursing

A graduate of a baccalaureate degree program is ready to start working as an RN in the emergency department. Which action must the nurse take first?

a. Obtain certification for an emergency nurse. b. Pass the National Council Licensure Examination. c. Take a course on genomics to provide competent emergency care. d. Complete the Hospital Consumer Assessment of Healthcare Providers Systems.

Nursing