During the physical examination of a female client, the nurse notes that the client's axillary lymph nodes are enlarged, hard, and fixed. The nurse recognizes that these findings are consistent with what disease process? Which movement should the nurse instruct the client to perform to assess range of motion for the knee?
The nurse notes that a client is unable to control the amount of light that enters the eye. Which structure's dysfunction is the most likely cause this problem? Nice work! You just studied 209 terms! Now up your study game with Learn mode. A client asks the nurse why it is important to protect their eyes from the sun.
Along with persistent, crushing chest pain, which signs/symptoms would make the nurse suspect that the client is experiencing a myocardial infarction? 1. Midepigastric pain and pyrosis.
The nurse assessing a client experiencing pain in their right foot observes swelling and inflammation of the foot and deviation of the big toe from the midline associated with crowding of the remaining toes. Which condition does the nurse suspect?
The nurse should evaluate a client with a systolic blood pressure less than 100 mm/hg. This blood pressure is low enough that action is required. Atropine is an anticholinergic agent that blocks the effects of the parasympathetic nervous system, producing sympathetic nervous system effects. Adverse reactions include nasal congestion, tachycardia, hypotension, pupillary dilation, abdominal distention, and palpitations.
Dicyclomine (Bentyl) is an antispasmodic cholinergic blocker used to decrease GI motility in patients with functional GI disorders such as irritable bowel syndrome.
During an assessment of a 45-year-old patient with asthma, the nurse notes wheezing and dyspnea. The nurse interprets that these symptoms are related to what pathophysiologic change?
The nurse identifies the nursing diagnosis of activity intolerance for a patient with asthma. In patients with asthma, the nurse assesses for which etiologic factor for this nursing diagnosis?
The nurse is assigned to care for a patient in the emergency department admitted with an exacerbation of asthma. The patient has received a β-adrenergic bronchodilator and supplemental oxygen. If the patient's condition does not improve, the nurse should anticipate what as the most likely next step in treatment?
The nurse physically inspects the chest wall to evaluate the use of intercostal (accessory) muscles, which gives an indication of the degree of respiratory distress experienced by the patient . The other options may also occur, but they are not the primary reason for inspecting the chest wall of this patient.
Narrowing of the airway by persistent but variable inflammation leads to reduced airflow, making it difficult for the patient to breathe and producing the characteristic wheezing.
B. Use the flow meter each morning after taking medications to evaluate their effectiveness.
Raynaud's disease is peripheral vascular disease characterized by abnormal vasoconstriction in the extremities. Smoking cessation is one of the most important lifestyle changes that the client must make. The nurse should emphasize the effects of tobacco on the blood vessels and the principles involved in stopping smoking. The nurse needs to provide information to the client about smoking cessation programs available in the community. Options 1 and 4 are incorrect. It is not necessary to wear gloves for all activities.
A client with angina complains that the anginal pain is prolonged and severe and occurs at the same time each day, most often at rest in the absence of precipitating factors. How would the nurse best describe this type of anginal pain?
The nurse needs to provide information to the client about smoking cessation programs available in the community. Options 1 and 4 are incorrect. It is not necessary to wear gloves for all activities.
Standard management for the client with DVT includes bed rest; limb elevation; relief of discomfort with warm, moist heat; and analgesics as needed. Ambulation is contraindicated because such activity can cause the thrombus to dislodge and travel to the lungs.