A patient with a diagnosis of common variable immunodeficiency begins to develop thick, sticky, tenacious sputum. The patient has a history of episodes of pneumonia at least one time per year for the last 10 years
What does the nurse suspect the patient is developing?
A) Pulmonary edema
B) A pulmonary neoplasm
C) Bronchiectasis
D) Bronchiolitis
Ans: C
Feedback: Frequent respiratory tract infections typically lead to chronic progressive bronchiectasis and pulmonary failure. Pulmonary edema is often a result of vascular insufficiency. A patient suffering from CVID is likely to develop gastric cancer, not lung cancer. Bronchiolitis is related to an inflammation of the upper airway and usually occurs in children.
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The nurse is preparing the care plan for a client with difficulty falling asleep. Appropriate interventions to reduce environmental distractions in hospitals include: Standard Text: Select all that apply
1. Taking vital signs early in the evening. 2. Closing the door of the client's room. 3. Positioning dependent clients appropriately. 4. Making nursing rounds in the hallway. 5. Assisting client with voiding before bedtime.
The nursing action that takes priority when working with a client who has a problem of sexual
functioning is a. acquiring knowledge of client's sexual roles. b. developing an understanding of human sexual response. c. clarifying the nurse's personal values. d. assessing the client's sexual functioning.
A woman is admitted in an advanced stage of labor and is experiencing strong contractions. The nurse needs to collect information on the woman's social and demographic history
However, the nurse recognizes that it is not appropriate to conduct an in-depth health history at this time. Which assessment questions would be priority at this time? (Select all that apply.) a. Is there a language barrier? b. Does she avoid eye contact? c. How much rest has she had lately? d. Is her partner employed full time? e. Is the woman able to ask for what she needs? f. Does she talk freely with the nurse and her partner?
Leininger (1991) identified three nursing decision and action modes to achieve culturally congruent care. These modes are "cultural care preservation or maintenance," "cultural care accommodation," and "cultural care repatterning."
When assessing patients during the admission process, the nurse utilizes a. These action modes in a distinct order. b. These action modes individually, one at a time. c. Only one action mode per patient. d. All these action modes simultaneously.