Before death, the nurse must explain many physiologic processes to clients (if possible) and their families and caregivers. What is an expected change when death is imminent?
A) Deep breaths with periods of apnea
B) Mottling of upper extremities
C) Skin cool and dusky
D) Signs of respiratory alkalosis
C
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The immune response is complex and involves humoral and cell-mediated components. Which of the following is considered the first stage of the immune response?
A) Helper T cells are activated with the help of interleukin. B) Macrophages process antigens and give them to T cells in lymph tissue. C) T cells produce lymphokines which stimulate antibody-producing B cells. D) Macrophages remove cellular debris.
A nurse is conducting an occupational health assessment. Which of the following best describes the rationale for this assessment?
a. It is required by OSHA. b. It is required by NIOSH. c. It helps to identify agent and host factors that place employees at risk. d. It helps to educate workers about potential hazards.
The nurse is obtaining information from a pregnant client. Which of the following pieces of information would indicate this client is at risk for preterm labor?
A. The client smokes two packs per day and delivered her last child at 34 weeks. B. The client has group B streptococcus in her urine, and is primiparous. C. The client had congenital hip dysplasia as a child and is 15 pounds overweight. D. The client lives in a second-floor apartment without stairs, and walks to work.
When assessing a child with epiglotitus, the nurse should assess for all of the following except:
1. Drooling. 2. Dysphonia. 3. Stridor. 4. Crackles in the upper lungs.