Which symptoms will be most important for the nurse to assess for early signs of respiratory distress in the patient who has been given a neuromuscular-blocking agent?
a. Nasal flaring and retraction of intercostal muscles
b. Dyspnea, increased respiratory rate, and cyanosis
c. Restlessness, anxiety, and lethargy
d. Pallor, stridor, and diaphoresis
ANS: C
The signs of restlessness, anxiety, lethargy, decreased mental alertness, and headache are early, subtle clues to respiratory distress. Retractions, flaring, dyspnea, hyperventilation, cyanosis, pallor, stridor, and diaphoresis are not early signs of respiratory distress.
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The nursing students are learning how to assess function of cranial nerve VIII. To assess the function of cranial nerve VIII the students would be correct in completing which of the following assessment techniques?
A) Have the patient identify familiar odors with the eyes closed. B) Assess papillary reflex. C) Utilize the Snellen chart. D) Test for air and bone conduction (Rinne test).
The older person's ability to remember, dream, and exercise behavioral control is a factor most related to:
1. biologic age. 2. psychological age. 3. social age. 4. chronological age.
The aging process is accompanied by a number of changes in thermoregulation. Which of the following clinical phenomena in older adults is likely to result from these changes?
A) Lack of detection of an acute infection B) Impaired protein synthesis during hot weather C) Susceptibility to skin breakdown on bony prominences D) Orthostatic hypotension
An example of primary prevention is:
a. Pap smear b. Blood pressure screening c. Diet and exercise d. Physical therapy