A patient with a 2-year history of asthma, previously well controlled, presents for progressive worsening of symptoms in spite of good adherence to treatment with scheduled steroid inhalers. The patient has no exposure to pets and is not a smoker. Chest X-ray is...
A client who is a 36 week primigravida is admitted to labor and delivery wi abdomen is rigid and tender to touch. The fetal heart rate (FHR) is 90 eats/minute. Which action should the nurse implement first? Aw a blood sample for stat hemoglobin and hematocrit. B...
Kevin and his friends attended their college football team’s first home game this afternoon. They drank a lot of soda and ate hotdogs, popcorn, pizza, and pretzels. Later that evening, Kevin did not feel well. He is bloated, having moderate pain in his abdomen,...
A stroke is caused by an alteration in the oxygen that the brain is receiving. This change can be stem from an occlusion in a blood vessel or bleeding that is present in the brain. Due to the inadequate amount of oxygen to the brain due to the onset of a stroke, brain...
A 68-year-old male presents with concern for substernal chest pressure with exertion lasting five minutes and alleviated with rest. He has a remote history of a myocardial infarction (MI). He recently presented with angina symptoms and had a cardiac catheterization...
Erma has type B+ blood and she is thinking about having a child with her husband Frank who has O- blood. She comes to you because she has heard that problems can arise from different blood types in pregnancy. What advice should you give her? Group of answer choices...
John Owens is a 54-year-old man who has been sent to the Emergency Room (ER) by his PCP because of a painful swollen right leg. You are asked to see him. John attends alone. He describes his symptoms: “I woke up three days ago and thought my right leg felt a bit...
32 year old female having excision of a mass in left breast. physician makes a curved incision along the inferior and medical aspect of the left ariola.a breast nodule, measuring 1 cm in diameter.was benign, firm, gray. disscrete. it was excised. no evidence of...
Joe is 13 years old and was diagnosed with mild, intermittent asthma 1 year ago. At his quarterly follow up visit, you discover he is using his Albuterol MDI at least 5 times a week (with good technique) for relief of symptoms. His mother reports that he also awakens...
Henry P, age 72 years has been a smoker for 45 pack years. He was seen 2 weeks ago for increasing dyspnea with activity, chronic productive cough. Spirometry was completed and he returns today for follow up. Spirometry results show FEV 1 is 70% and FEV1/FVC is 68%....
Letta, age 78 presents for hospital follow up. She has been maintained on an inhaled corticosteroid, a long-acting beta agonist, a long-acting muscarinic agent and montelukast (Leukotriene inhibitor) for her chronic obstructive pulmonary disease (COPD) for the past 1...
Sadie W., 32 year old female, presents with symptoms of a runny nose, itchy eyes, and nasal congestion that occurs every spring. She is a school bus driver so tells you she wants something to relieve her symptoms but not make her drowsy. The nurse practitioner...
