A patient receiving total parenteral nutrition (TPN) begins having cough and dyspnea. The nurse auscultates rales and notes neck vein engorgement and weight gain. The nurse suspects that the patient is experiencing which condition?
a. Air embolism
b. Fluid overload
c. Pneumonia
d. Pneumothorax
ANS: B
This patient shows signs of overload, characterized by pulmonary edema with cough and dyspnea, neck vein engorgement, and weight gain.
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Who was the nurse theorist who was the first American-trained nurse credited with teaching how to provide care for people with mental illness? _______________________
Answer
A patient's family asks how a cholinesterase inhibitor drug prescribed for their parent with Alzheimer's disease works. Select the nurse's best response
a. "It helps the healthier nerve cells transmit impulses better." b. "It promotes excretion of neurotoxins." c. "It reverses central nervous system cell degeneration." d. "It helps grow new nerve cells to replace damaged ones in the brain."
An experienced intensive care unit (ICU) nurse is resisting the implementation of telehealth in the ICU because "we each only have one or two patients and are always available." What action by the manager is best?
a. Explain how telehealth can reduce specific adverse events in ICU patients. b. Provide education on the advantages of telehealth in the ICU. c. Remind the staff that telehealth is part of their health care environment. d. Visit with the nurse and ask why the nurse is so against telehealth.
A patient is about to begin treatment for latent tuberculosis with a short course of daily rifampin. The patient asks why rifapentine (Priftin) cannot be used, because it can be given twice weekly
What will the nurse tell this patient about rifapentine? a. It is more toxic than rifampin. b. It is not approved for treatment of latent TB. c. It is not well absorbed and thus not as effective. d. It will stain contact lenses orange.