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hbuedu hbuedu
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6 years ago
The nurse explains to the nursing student that the application of critical thinking to patient care involves which factor(s)? (Select all that apply.)
 
  a. Identification of a patient problem
  b. Setting priorities
  c. Concentrating on the patient rather than family needs
  d. Use of logic and intuition
  e. Expansion of thought beyond the obvious

Question 2

The nurse is caring for a patient with advanced emphysema. Which signs are manifestations of this disorder? (Select all that apply.)
 
  a. Productive cough
  b. Dyspnea
  c. Barrel chest
  d. Wheezing
  e. Cyanotic skin tone

Question 3

Following a visit from his family, the 55-year-old male patient with terminal cancer tearfully says, I am so afraid and begins to cry. Which response is most supportive?
 
  a. Would you like to have your pain medication now?
  b. Let's talk about the things that make you afraid.
  c. Would you like for me to call the hospital chaplain.
  d. I will leave to give you some privacy.

Question 4

The nurse is performing an occupational history as part of the respiratory assessment. Which occupation(s) place the patient at increased risk for an occupational lung disorder? (Select all that apply.)
 
  a. A firefighter
  b. A cotton gin worker
  c. A construction contractor
  d. A bartender
  e. A landscaper

Question 5

The nurse is caring for a patient with pneumonia who complains of shortness of breath.
 
  Further assessment reveals an oxygen saturation of 89 on room air, 28 respirations/min with bilateral crackles in lung bases, blood pressure of 160/94, and a pulse rate of 102 beats/min. Which nursing diagnosis is priority for this patient?
  a. Activity Intolerance
  b. Impaired Gas Exchange
  c. Ineffective Cardiopulmonary Tissue Per-fusion
  d. Self-Care Deficit: Bathing and Hygiene

Question 6

The home health nurse is making an initial call on a newly diagnosed tuberculosis (TB) patient. The patient lives with his wife and child. Which infection control instructions should the nurse include in the teaching plan? (Select all that apply.)
 
  a. Place contaminated tissues in sealable plastic bag.
  b. Take medications exactly as directed.
  c. Implement airborne precautions.
  d. Wash hands frequently.
  e. Wear a mask when in crowds.

Question 7

Which statement indicates to the nurse that the 50-year-old male recently diagnosed with early stage cancer of the prostate has begun to accept his diagnosis?
 
  a. Well, I guess this just about cancels any plans for a second honeymoon.
  b. I need to call my lawyer in order to update my will.
  c. Do you have any current information on prostate cancer?
  d. My children should come home from college to visit.
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6 years ago
The answer to question 1  A, B, D, E
Critical thinking as applied to nursing care requires setting priorities of patient problems and needs by using logic and intuition. Inclusion of the family in the care makes the approach family oriented. Critical thinking should go beyond the obvious.

The answer to question 2  A, B, C, E
Manifestations of late emphysema include a productive cough, dyspnea, a barrel chest, and cya-nosis. (Coughing, mucus production, and cyanosis usually do not occur until late in the disease.) Wheezing usually does not occur in the emphysemic patient.

The answer to question 3  B
Verbalizing fears to a caring nurse is comforting. Offering medications, chaplains, and privacy is not helpful or supportive as a first nursing response in this situation.

The answer to question 4  A, B, C
Firefighters, cotton gin workers, and construction contractors all come into contact with occupa-tional hazards that could increase risks for lung disorders. Coal dust, dust from hemp, flax, and cotton processing, and exposure to silica in the air all can cause work-related lung disorders. As-bestos exposure may cause mesothelioma and scarring of lung tissue. The other exposures cause obstruction of small airways or scarring and loss of elasticity and compliance. A bartender and landscaper are not at increased risk of occupational lung disorders.

The answer to question 5  B
While all nursing diagnoses may apply to this patient, impaired gas exchange is the highest priority because this is the underlying problem for the other nursing diagnoses, as well as physi-ologically the highest priority.

The answer to question 6  A, B, D, E
Instructions should include information about disposing of contaminated materials in sealed bags, taking medications exactly as directed, utilizing frequent hand hygiene, and donning a mask when in crowds. Since the family has already been exposed, taking airborne precautions is unnecessary.

The answer to question 7  C
Well-adjusted patients should seek information on the disease and varied treatments. Joking is a form of denial. Gathering family and making final arrangements reflect loss of hope and do not coincide with the prognosis of early stage prostate cancer. Humor is a positive coping strategy, but requesting information about the disease is more indicative of acceptance.
hbuedu Author
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6 years ago
tremendous help
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