This topic contains a solution. Click here to go to the answer

Author Question: The nurse is assessing a patient with chronic obstructive pulmonary disease (COPD). Which assessment ... (Read 141 times)

tuffie

  • Hero Member
  • *****
  • Posts: 534
The nurse is assessing a patient with chronic obstructive pulmonary disease (COPD). Which assessment finding indicates a potential complication and requires the nurse's immediate atten-tion?
 
  a. Distended neck veins
  b. Left lower quadrant tenderness
  c. Urinary output of 40 mL/hr
  d. Excessive coughing

Question 2

The nurse is caring for a patient with the problem statement/nursing diagnosis of Risk for Impaired Skin Integrity Related to Immobility. Which goal/outcome statement best correlates with this diagnosis?
 
  a. The patient will sit in chair at bedside for 15 minutes after each meal.
  b. The nurse will assist the patient to chair every shift.
  c. The nurse will assess skin and record condition every shift.
  d. The patient will change positions fre-quently.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jointhecircus

  • Sr. Member
  • ****
  • Posts: 343
Answer to Question 1

A
Cor pulmonale is enlargement of the right side of the heart as a result of pulmonary hypertension caused by constriction of the pulmonary vessels in response to hypoxia. Constant hypoxia sti-mulates erythropoiesis, with resulting polycythemia and increased viscosity of blood. Eventually, right-sided heart failure causes systemic venous congestion which manifests with distended neck veins. The patient would experience right upper quadrant tenderness from an engorged liver. Urinary output of 40 mL/hr is normal. Excessive coughing does not indicate an urgent complica-tion.

Answer to Question 2

A
The goal/outcome statement is directed at the etiology and should be patient oriented. The state-ment should be realistic and measurable and reflect what the patient will do.




tuffie

  • Member
  • Posts: 534
Reply 2 on: Jun 25, 2018
Gracias!


mcabuhat

  • Member
  • Posts: 344
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

 

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

Did you know?

Common abbreviations that cause medication errors include U (unit), mg (milligram), QD (every day), SC (subcutaneous), TIW (three times per week), D/C (discharge or discontinue), HS (at bedtime or "hours of sleep"), cc (cubic centimeters), and AU (each ear).

Did you know?

Drug-induced pharmacodynamic effects manifested in older adults include drug-induced renal toxicity, which can be a major factor when these adults are experiencing other kidney problems.

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Did you know?

The most common childhood diseases include croup, chickenpox, ear infections, flu, pneumonia, ringworm, respiratory syncytial virus, scabies, head lice, and asthma.

For a complete list of videos, visit our video library