An elderly client is brought to the emergency department with lethargy, chills, and sharp chest pain with deep breathing. Pulse oximeter shows 93% on room air and respirations are 24/min. What is the nurse's initial action?
a. Administer intravenous (IV) morphine
b. Auscultate the client's lung sounds
c. Initiate an IV infusion of normal saline
d. Initiate nasal oxygen at 3 L/min
Ans: b. Auscultate the client's lung sounds
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A term infant is 22 hours old, has a total serum bilirubin level of 13 mg/dL, and has visible jaundice. What action by the nurse is most appropriate?
A. Assure the parents that this is temporary. B. Document the findings in the infant's chart. C. Have the mother switch to bottle feeding. D. Review the chart for history of a traumatic birth.
Your client complains of discomfort in the lower abdomen. She describes it as a sharp pain below the umbilicus on one or both sides of the uterus. You hypothesize that the client is experiencing which of the following?
a. True labor pains c. Round ligament dis-comfort b. Periodic labor pains d. Braxton-Hicks con-tractions
It is essential that each sector of the food chain follow correct food handling procedures in order to
a. meet nutrient guidelines. b. have a safe food supply. c. have tasty food products. d. maintain an inexpensive food supply.
Kirby is a 63-year-old welder who has gone to the clinic for his annual check-up. He shares with the nurse that he has been having difficulty hearing conversations at the coffee shop in the mornings
After looking in his ears to determine if there is a build-up of cerumen, the nurse tells Kirby that his hearing loss needs to be checked further, but that it may be associated with aging. What is the best term to describe this? A. Tinnitus B. Accommodation C. Presbycusis D. Presbyopia