Professional Documents
Culture Documents
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D. The fingernail and its base Clubbing, a sign of longstanding hypoxemia, is evidenced by an increase in the
angle between the base of the nail and the fingernail to 180
degrees or more, usually accompanied by an increase in
the depth, bulk, and sponginess of the end of the finger.
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Hypercapnia D. Bradycardia
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36. The nurse is assisting a patient to learn selfadministration of beclomethasone two puffs inhalation q6hr.
The nurse explains that the best way to prevent oral infection
while taking this medication is to do which of the following as
part of the self-administration techniques? A. Chew a hard
candy before the first puff of medication. B. Ask for a breath
mint following the second puff of medication. C. Rinse the
mouth with water before each puff of medication. D. Rinse
the mouth with water following the second puff of medication.
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B. 2.5
D. 5.0
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patient
44. When caring for a patient with COPD, the nurse identifies
a nursing diagnosis of imbalanced nutrition less than body
requirements after noting a weight loss of 30 lb. Which of the
following would be an appropriate intervention to add to the
plan of care for this patient? A. Teach the patient to use
frozen meals at home that can be microwaved. B. Provide a
high-calorie, high-carbohydrate, nonirritating, frequent
feeding diet. C. Order fruits and fruit juices to be offered
between meals. D. Order a high-calorie, high-protein diet with
six small meals a day.
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the cone as oxygen flows through the small jet. The degree
of restriction or narrowness of the jet determines the
amount of entrainment and the dilution of pure oxygen with
room air and thus the concentration of oxygen. Although
applying an adaptor can increase the humidification with
the Venturi mask, it is not the best answer, because an
open port is essential to proper functioning. Draining
moisture condensation from the oxygen tubing is performed
as often as needed, not on an hourly schedule. A plastic
face mask with a reservoir bag needs to have sufficient flow
rate to keep the bag inflated.
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30. Which of the following conditions or factors in a 64-yearold patient diagnosed with head and neck cancer most likely
contributed to this health problem? A. Patient's hobby is oil
painting. B. Patient's father also had head and neck cancer.
C. Patient uses chewing tobacco and drinks beer daily. D.
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acid.
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38. In teaching the patient with COPD about the need for
physical exercise, the nurse informs the patient that A. all
patients with COPD should be able to increase walking
gradually up to 20 min/day. B. a bronchodilator inhaler should
be used to relieve exercise-induced dyspnea immediately
after exercise. C. shortness of breath is expected during
exercise but should return to baseline within 5 minutes after
the exercise. D. monitoring the heart rate before and after
exercise is the best way to determine how much exercise can
be tolerated.
39. Select all that apply. Which of the following are clinical
manifestations of tension pneumothorax? A. Midline trachea
B. Severe hypertension C. Progressive cyanosis D. A loud
bruit on affected side E. Asymmetrical chest wall movement
F. Subcutaneous emphysema in the neck
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20. Using light pressure with the index and middle fingers,
the nurse cannot palpate any of the patient's superficial
lymph nodes. The nurse A. records this finding as normal. B.
should reassess the lymph nodes using deeper pressure. C.
asks the patient about any history of any radiation therapy. D.
notifies the health care provider that x-rays of the nodes will
be necessary.
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B. 12:00 noon The nurse must hang the unit of packed red
blood cells within 30 minutes of signing them out from the
blood bank
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saline.
10. The blood bank notifies the nurse that the two units of
blood ordered for an anemic patient are ready for pick up.
The nurse should take which of the following actions to
prevent an adverse effect during this procedure? A.
Immediately pick up both units of blood from the blood bank.
B. Regulate the flow rate so that each unit takes at least 4
hours to transfuse. C. Set up the Y-tubing of the blood set
with dextrose in water as the flush solution. D. Infuse the
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17. The nurse evaluates that teaching for the patient with iron
deficiency anemia has been effective when the patient states
A. "I will need to take the iron supplements the rest of my
life." B. "I will increase my dietary intake of milk and milk
products." C. "I should increase my activity to increase my
aerobic capacity." D. "I should take the iron for several
months after my blood is normal."
D. "I should take the iron for several months after my blood
is normal." To replace the body's iron stores, iron
supplements should be continued for 2 to 3 months after
the Hb level returns to normal, but if the cause of the iron
deficiency is corrected, the supplements do not need to be
taken for a lifetime. Milk and milk products are poor sources
of dietary iron. Activity should be gradually increased as Hb
levels return to normal because aerobic capacity can be
increased when adequate Hb is available.
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21. Select all that apply. Which of the following are significant
risk factors for leukemia? A. Being a longtime smoker B.
Employment in an oil refinery C. History of hemophilia in
parent D. Having Down syndrome E. Having a twin brother
with leukemia F. Treatment with an alkylating agent = 3 years
ago
absorption atelectasis
acute bronchitis
adventitious sounds
allergic rhinitis
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?-antitrypsin
apnea
asthma
centrilobular emphysema
chemoreceptor
chest percussion
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chest physiotherapy
chronic bronchitis
chronic pancreatitis
chylothorax
community-acquired pneumonia
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compliance
cor pulmonale
crackle
cystic fibrosis
deviated septum
diaphragmatic breathing
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dyspnea
elastic recoil
emphysema
empyema
epistaxis
nosebleed.
esophageal speech
flail chest
fremitus
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hemothorax
hospital-acquired pneumonia
hypercapnia
hyperreactivity
hyperresponsiveness
hypocapnia
lung abscess
mechanical receptors
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metered-dose inhaler
nasal polyps
normocapnia
O2 toxicity
pancreatic insufficiency
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panlobular emphysema
pleural effusion
pleurisy (pleuritis)
pneumoconiosis
pneumonia
pneumothorax
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lung to collapse.
postural drainage
pulmonary edema
pulmonary embolism
pulmonary hypertension
pursed-lip breathing
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closure.
rhinoplasty
rhonchi
status asthmaticus
surfactant
tension pneumothorax
thoracentesis
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thoracotomy
tidal volume
tracheostomy
tracheotomy
trigger
tuberculosis
vibration
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wheezes
a form of rhonchus characterized by continuous highpitched squeaking sound caused by rapid vibration of
bronchial walls.