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A client who had a thoracentesis is now experiencing the following clinical manifestations: rapid shallow respirations, rapid heart rate, decreased oxygen saturation, and severely diminished breath sounds on the left side. What complication does the nurse suspect this client has developed?

Which action prevents ventilator acquired pneumonia (VAP)?

The nurse is caring for a client that is tachypneic and restless. Upon her assessment of the chest tube drainage system she notices no bubbling in the water seal chamber. What should be the nurse’s first action?

In a patient with a long history of COPD, which of the following complications would the nurse monitor for?

A 74-year-old patient with a history of heart failure is admitted with complaints of increasing fatigue and weight gain of 4 pounds in the past two days. The patient reports shortness of breath when lying flat. Which assessment is the nurse’s priority?

Explain the significance of the title of James Joyce’s story, “The Dead.” You should provide a summary of the story (about 5 sentences) and then explain the meaning of the story’s title.  You should write fifteen sentences for this response.

B. Elección Múltiple: Select the “best answer” based on the book.   1. Ana tiene ___ con sus amigas y su familia.  [1] a. problemas    b. familia    c. trabajo 2. Cuando Ana pone un libro en el suelo, su mamá ___. [2]a. come chocolate   b. pone   c. le grita 3. Ana está frustrada porque ___ no la ayuda. [3]a. la profesora    b. su hermano    c. Juana 4. Después de la clase Ana le dijo a ___ que quiere ir a México. [4]  a. Su profesora.   b. Susana   c. Su hermano 5. ___ tiene miedo porque la familia no está en el aeropuerto. [5]a. Don    b. su mamá    c. Ana 6. Ana, Juana y Susana ___ por tres horas. [6]a. bailan    b. hablan    c. practican 7. Ana quiere hablar español con ___ pero no hay niños en el parque. [7]  a. niños    b. Ana    c. Juana 8. Ana compra un___ con el dinero que recibe en el banco. [8]a. el aeropuerto    b. un taco    c. la tienda  

is the use of five or more medications and poses a risk of adverse effects when medication use is not regularly assessed in older adult clients.

Which of the following is true about osteoarthritis?  

The intravenous prescription is 3000 mL of 5% dextrose in water (D5W) to run over a 24-hour period. Thedrop factor is 10 gtts/1 mL. The nurse plans to adjust the flow rate to how many gtts/minute?