The nurse caring for a client recovering from an abdominal hysterectomy suspects the client is experiencing a pulmonary emboli when which of the following is found?
1. Decrease urine output
2. Dyspnea and shortness of breath
3. Activity intolerance
4. Nausea
2. Dyspnea and shortness of breath
Rationale:
Manifestations of pulmonary emboli include dyspnea, shortness of breath, pleuritic chest pain, anxiety, apprehension, cough, tachycardia, tachypnea, crackles, and a low-grade fever. Decreased urine output, activity intolerance and nausea are not clinical manifestations of a pulmonary embolism.
You might also like to view...
The client on the inpatient unit who should be assessed as being at highest risk for directing violent behavior toward others is which of the following?
1. A veteran who has a diagnosis of post-traumatic stress disorder who was admitted for severe sleep disturbance secondary to nightmares 2. A middle-aged woman who has completed alcohol withdrawal and is participating in a rehabilitation program 3. An adolescent who was admitted for suicidal ideation and was suspended from school for getting into a fight with a classmate 4. A male client in his twenties who has bipolar disorder with delusions of grandeur
Men over age 50 should consider an annual _________ test and rectal examination
ANS:
The nurse is assessing an older adult patient diagnosed with dementia for pain. Which behavioral manifestations would indicate the patient is experiencing pain? Select all that apply
1) Increased heart rate 2) Increased blood pressure 3) Increased agitation 4) Increased restlessness 5) Increased moaning
Which strategy would be most therapeutic when helping a patient with a psychophysiological disorder to develop insight?
a. Spend time with the patient to identify strengths. b. Identify dysfunctional coping mechanisms for the patient. c. Suggest that the patient's use of denial is interfering with developing insight. d. Help the patient become aware of feelings when physical symptoms are present.