A wife is extremely upset about her husband's respirations. A nurse explains that this type of breathing is a symptom of end-stage disease. The breathing is called Cheyne-Stokes and is characterized by
1. Slow, shallow respirations.
2. Slow, deep respirations.
3. A cycle of shallow and deep respirations.
4. Cyanosis of the hands and feet.
ANS: 3
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The nurse administers erythromycin, a drug that is known to irritate mucosa in the stomach lining. When the patient reports abdominal discomfort after taking the medication, the nurse would classify this discomfort as what type of adverse effect?
A) Primary action B) Secondary action C) Hypersensitivity reaction D) Allergic reaction
A 46-year-old male patient sustained a closed-head injury 4 hours ago. He presents to the emergency department with difficulty breathing. What area of the brain does the nurse suspect is injured based on the patient's symptoms?
A) Thalamus B) Cerebrum C) Pituitary D) Medulla oblongata
The nurse is preparing to give a patient a medication via a piggyback infusion. What is the safest action for the nurse to take?
a. Fill the tubing with medication before connecting it to the Y-port. b. Obtain a second intravenous (IV) site where the infusion will be administered. c. Ask the patient his or her preference about starting a new IV line. d. Consult with the healthcare provider to obtain the best approach.
When having a discussion with a group of nurse managers about the effects of caring for clients, which statement leads you to know that they understand Martha Rogers's Theory of Human Energy Fields?
a. There is little interconnectedness between persons and their environment. b. A nurse's thoughts and intentions create a vibrational pattern that can influence clients. c. If a nurse appears disorganized, clients will become more empowered to care for themselves. d. The nurse's centered energy field has little effect in restoring a sense of balance in others.