During a physical assessment, the nurse observes a patient experiencing a sudden audible expulsion of air from the lungs. What should the nurse document that the patient is experiencing?
a. Dyspnea
b. Cyanosis
c. Coughing
d. Ecchymosis
ANS: C
Coughing is a sudden audible expulsion of air from the lungs. Coughing is an essential protective response that serves to clear the lungs, bronchi, or trachea of irritants and secretions or to prevent aspiration of foreign material into the lungs. It is a common sign of diseases of the larynx, bronchi, and lungs.
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Which statement by a patient with Paget disease indicates that the nurse needs to reinforce teaching?
A) "Bisphosphonates and calcitonin will help strengthen the bone." B) "Exercise may cause fractures." C) "I will need to take calcium and vitamin D supplements." D) "I need to maintain a healthy body weight.
Calcium and iron intakes may be inadequate in young women because
a. hectic lifestyles and stress reduce the bio-availability of these minerals. b. they have high intakes of processed foods, which tend to be poor sources of these minerals. c. intake of foods high in these minerals may be restricted because of attempts to lose weight. d. requirements for these minerals are very high and cannot be met without using supplements.
The client complains of numbness of the throat and tongue after taking benzonate (Tessalon). What instruction should the nurse provide for the client?
1. Take one-half the prescribed dose. 2. Swallow the medication whole. 3. Stop taking benzonate immediately, because this is a life-threatening emergency. 4. Take benzonate with an antihistamine.
The nurse is preparing a presentation on Standard Precautions. Which statement should be included in the presentation?
1. Cut the needle off a syringe after using it to give a client an injection. 2. Dispose of blood-contaminated materials in a biohazard container. 3. Gloves should not be worn for client care unless body fluids are seen. 4. Wear a mask when in direct contact with all clients.