Interesting fact
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Newborns are obligatory nose breathers until at least 4 weeks and can't
automatically open mouths to breathe if nose obstructed
What is the primary clinical symptom of emphysema?
A. Chest Pain
B. Productive cough
C. Sputum
D. Wheezing
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D. Wheezing
, - chronic bronchitis would show productive cough and sputum
The nurse is checking the lab work on clients in the clinic. Which client is at greatest
risk fo having atherosclerosis?
a. Client who has LDL of 101, triglycerides of 127 and HDL of 55
b. CLient who has LDL of 100, triglycerides of 50 and HDL of 78
c. Client who has LDL of 130, triglycerides of 135 and HDL of 100
d. Client who has LDL of 101, glycerides of 127, and HDL of 55
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C. Client who has LDL of 130, triglycerides of 135, and HDL of 100.
The LDL would be increased. Normal levels are LDL <130, tri < 100, and HDL
> 50.
T/F? For patients with chronic bronchitis, the nurse expects to see the major clinical
symptoms of tachypnea and tachycardia?
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False. Just for emphysema. For chronic bronchitis, you'd expect to see
sputum.
The nurse is interviewing a client in the medical clinic who states, "I have this heavy
feeling in my legs at the end of the day. The swelling in my legs is steadily increasing".
Which addntl findings should the nurse anticipate when a physical is done? Select ALL
that apply
a. +3 pitting edema
b. brownish discoloration above ankles
c. dependent rubor
,d. posterior tibial pulse audible only with doppler
e. pallor when leg elevated
f. thick leathery skin
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a.d.e.f.
(+3 pitting edema, posterior tibial pulse only audible with doppler, pallor of
leg when elevated, thick leathery skin)
A nurse is assigned to care for a client admitted to the health care facility with the
diagnosis of atelectasis. When interviewing the client, the nurse would anticipate a
history of:
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pneumonia.
The nurse is caring for a client who has a DVT and is scheduled to receive Coumadin
(Warfarin) 7.5mg at 1800. The client's INR is 2.7. Which action by the nurse is indicated?
a. administer med as ordered
b. prepare to administer protamine sulfate
c. prepare to administer vitamin K (aquamethyton)
d. withhold dose of med
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, a. adminsiter as ordered
IF you have a DVT, the INR 2-3 so they're within range
Regular INR = 1
What term is defined as the process by which oxygen and carbon dioxide are
transferred between alveoli and blood and between blood and body cells?
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Diffusion
Respiratory Acidosis
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- low pH <7.35
- PaCO2 > 42mm Hg
- always due to respiratory problem with inadequate exertion of CO2
- Manifestations: increased pulse suddenly, respiratory rate and BP
increase, mental changes, feelings of "fullness" in head
- Remember "ROME"
- most common cause is COPD but can also occur with pts with pneumonia
- treatment aimed at improving ventilation
What would be the priority nursing diagnosis for a patient who is prescribed epoetin
alfa?
Give this one a try later!
Give this one a try later!
Newborns are obligatory nose breathers until at least 4 weeks and can't
automatically open mouths to breathe if nose obstructed
What is the primary clinical symptom of emphysema?
A. Chest Pain
B. Productive cough
C. Sputum
D. Wheezing
Give this one a try later!
D. Wheezing
, - chronic bronchitis would show productive cough and sputum
The nurse is checking the lab work on clients in the clinic. Which client is at greatest
risk fo having atherosclerosis?
a. Client who has LDL of 101, triglycerides of 127 and HDL of 55
b. CLient who has LDL of 100, triglycerides of 50 and HDL of 78
c. Client who has LDL of 130, triglycerides of 135 and HDL of 100
d. Client who has LDL of 101, glycerides of 127, and HDL of 55
Give this one a try later!
C. Client who has LDL of 130, triglycerides of 135, and HDL of 100.
The LDL would be increased. Normal levels are LDL <130, tri < 100, and HDL
> 50.
T/F? For patients with chronic bronchitis, the nurse expects to see the major clinical
symptoms of tachypnea and tachycardia?
Give this one a try later!
False. Just for emphysema. For chronic bronchitis, you'd expect to see
sputum.
The nurse is interviewing a client in the medical clinic who states, "I have this heavy
feeling in my legs at the end of the day. The swelling in my legs is steadily increasing".
Which addntl findings should the nurse anticipate when a physical is done? Select ALL
that apply
a. +3 pitting edema
b. brownish discoloration above ankles
c. dependent rubor
,d. posterior tibial pulse audible only with doppler
e. pallor when leg elevated
f. thick leathery skin
Give this one a try later!
a.d.e.f.
(+3 pitting edema, posterior tibial pulse only audible with doppler, pallor of
leg when elevated, thick leathery skin)
A nurse is assigned to care for a client admitted to the health care facility with the
diagnosis of atelectasis. When interviewing the client, the nurse would anticipate a
history of:
Give this one a try later!
pneumonia.
The nurse is caring for a client who has a DVT and is scheduled to receive Coumadin
(Warfarin) 7.5mg at 1800. The client's INR is 2.7. Which action by the nurse is indicated?
a. administer med as ordered
b. prepare to administer protamine sulfate
c. prepare to administer vitamin K (aquamethyton)
d. withhold dose of med
Give this one a try later!
, a. adminsiter as ordered
IF you have a DVT, the INR 2-3 so they're within range
Regular INR = 1
What term is defined as the process by which oxygen and carbon dioxide are
transferred between alveoli and blood and between blood and body cells?
Give this one a try later!
Diffusion
Respiratory Acidosis
Give this one a try later!
- low pH <7.35
- PaCO2 > 42mm Hg
- always due to respiratory problem with inadequate exertion of CO2
- Manifestations: increased pulse suddenly, respiratory rate and BP
increase, mental changes, feelings of "fullness" in head
- Remember "ROME"
- most common cause is COPD but can also occur with pts with pneumonia
- treatment aimed at improving ventilation
What would be the priority nursing diagnosis for a patient who is prescribed epoetin
alfa?
Give this one a try later!
