An older patient reports developing pneumonia easily; however, a spouse of the same age rarely "gets sick." How should the nurse respond?
A. "Not everyone's immune system is the same, regardless of their age."
B. "It's just a matter of time. Your spouse will have the same illnesses you do."
C. "Maybe your spouse just doesn't tell you about being sick."
D. "Your spouse must be doing something that you're not doing."
Answer: A
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The nurse is caring for a client with COPD. As they talk, the client asks what the difference is between ventilation and respiration. The nurse responds:
1. "Respiration is the intake of air into the lungs." 2. "Respiration refers to the exchange of carbon dioxide and oxygen at the cellular level." 3. "Ventilation refers to the movement of air in and out of the lungs." 4. "Ventilation refers to very shallow respirations."
The OR nurse is setting up a water-seal chest drainage system for a patient who has just had a thoracotomy. The nurse knows that the amount of suction in the system is determined by the water level. At what suction level should the nurse set the system?
A)20 cm H2O B)15 cm H2O C)10 cm H2O D)5 cm H2O
A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours as needed (PRN). What should the nurse assess first?
a. Assess for the presence of bowel sounds. b. Assess pupillary reaction. c. Ask the patient's family if she is having pain. d. Determine when the patient last received pain medication.
The physician has ordered 1/4 strength Isocal. The total volume is 100 mL. How many milliliters of water needs to mixed with the Isocal?
A) 25 B) 50 C) 75 D) 100