Crowdly

High calorie, high-protein diet

Low calorie, high-protein diet

Low sodium diet

Low potassium diet

The nurse is teaching a group of clients with chronic obstructive pulmonary disease (COPD) about cor pulmonale and nutrition. What should the nurse recommend to help control the symptoms of cor pulmonale while maintaining the clients' nutritional needs?

Low calcium diet with increased caloric intake using nutritional supplements

High sodium diet with three high-fat meals per day

Low sodium diet, fluid restriction and frequent small meals throughout the day

Low potassium diet, fluid restriction and three high-calorie meals per day

Which of the following laboratory results are reflective of this condition?

A client with pneumonia is experiencing uncompensated respiratory acidosis.

HCO₃: 22-26 mEq/L (22-26 mmol/L)

pH: 7.1 and HCO₃: 30 mm Hg

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pH: 7.2 and HCO₃: 19 mm Hg

pH: 7.2 and PCO₂: 32 mm Hg

pH: 7.3 and PCO₂: 47 mm Hg

Which of the following instructions stated by the client indicates the need for further education?

The nurse is providing discharge instructions for a client with chronic sinusitis.

"I should drink six to eight glasses of water per day to loosen secretions"

"I should sleep supine with my head turned to the side to reduce congestion"

"I should call my physician if my temperature is greater than 100.4°F (38°C)"

"If I can, I should try twice per day to take a hot shower to promote drainage"

Which of the following actions is most important for the nurse to maintain client independence?

A 18 year-old client with cystic fibrosis (CF) is being discharged in the afternoon.

Assist parents with contacting durable medical equipment companies

Provide family with information about home health care

Connect the client with a social worker to aid in searching employment

Provide the family with resources for counselling

A client diagnosed with emphysema was recently taught pursed-lip breathing. The nurse is following up on the client's understanding of the technique and answering any outstanding questions.

Which statement made by the client indicates they have a good understanding of pursed-lip breathing?

"Pursed-lip breathing strengthens the accessory muscles"

"Pursed-lip breathing helps to eliminate carbon dioxide"

"Pursed-lip breathing will promote mucus removal"

"Pursed-lip breathing will decrease my oxygen intake"

A high-risk client for influenza is prescribed zanamivir by the health care provider (HCP). Which of the following statements indicates the client understands the route and indications for this medication?

"I will take this medication orally. It will shorten the duration of my influenza"

"I will come to the clinic to receive this medication intravenously. It will help to shorten the duration of my influenza"

"I will take this oral medication with at least 250 mL of water. It will help to prevent an influenza infection"

"This medication is administered by an inhaler. It should be taken within 2 days the onset of influenza symptoms"

The nurse is caring for an asthmatic client who is experiencing shortness of breath.

Which of the following positions will prevent facilitation of breathing?

Sitting and resting the head and forearms on some pillows on a table

Standing with relaxed shoulders and looking up at the ceiling

Standing with feet shoulder-width apart and resting the hands on the thighs

Sitting with feet flat on the floor and chest leaned forward slightly

The nurse is caring for a client with several fractured ribs who is complaining of pain.

Which of the following orders should the nurse clarify?

Acetaminophen

Ibuprofen

Diazepam

Naproxen

A 6 year-old client has been diagnosed with asthma and a new therapeutic regimen. The nurse is working with the client to provide support and prevent the client from abandoning the medication regimen. Which of the following interventions by the nurse would require follow-up?

Encourage the parents to promote a normal life for their child

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Assess for possible disruptive family situations

Provide a referral for counseling and guidance services

Allow the child to voice their frustration