You are developing the teaching portion of a care plan for a patient with COPD. What would be an important component for you to emphasize?
A) Smoking one-half of a pack weekly is allowable
B) Chronic inhalation of indoor toxins causes lung damage
C) Minor respiratory infections are not treated
D) ADLs should be completed in the waking hours
Ans: B
Feedback: Other environmental risk factors for COPD include prolonged and intense exposure to occupational dusts and chemicals, indoor air pollution, and outdoor air pollution. Smoking cessation should be taught to all patients who are currently smoking. Minor respiratory infections that are of no consequence to the person with normal lungs can produce fatal disturbances in the lungs of the person with emphysema. Activities of daily living (ADLs) should be paced throughout day to permit patients to perform these without excessive distress.
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A pregnant woman is admitted to the high-risk OB unit and started on an IV of magnesium sulfate (Sulfamag). What assessment by the nurse is most important?
A. Deep tendon reflexes (DTRs) B. Fetal heart tones C. Serum calcium level D. Temperature
The client who has been taking high-dose corticosteroid therapy for a month to treat a severe inflammatory condition, which has now resolved, asks the nurse why she needs to continue taking the corticosteroids. What is the nurse's best response?
A. "It is possible for the inflammation to recur when corticosteroid therapy is halted." B. "Corticosteroids are a type of hormone. Once you have been started on a re-placement hormone, you must continue the hormone replacement therapy for the rest of your life." C. "The drug suppressed your own adrenal gland secretion of corticosteroids. Slowly decreasing the dose over time allows your adrenal glands to start adequate se-cretion again." D. "The drug suppressed your immune system while you were taking it. Slowly de-creasing the dose over time prevents your immune system from starting up too quickly and initiating allergic reactions."
Nursing implications related to tocolytic therapy include:
a. Immediately reporting a maternal heart rate of 100 beats/minute or greater b. Recognizing a blood pressure of 80/40 mm Hg as an expected side effect c. Comparing intake and output to detect maternal fluid retention d. Discontinuing the infusion if the patient reports muscle weakness
A nurse needs to evaluate the progress of a woman's labor. The nurse obtains the following data: cervical dilatation 6 cm; contractions mild in intensity, and occur every five minutes, with a duration of 30 to 40 seconds
Which cue in this data does not fit the pattern suggested by the rest of the cues? A. Cervical dilatation 6 cm B. Mild contraction intensity C. Contraction frequency every two minutes D. Contraction duration 30 to 40 seconds