You are caring for a patient with a nasogastric tube. When making your shift assessment, you notice that the patient is having difficulty clearing her airway, her respiratory rate is 28, and her temperature is 38.9°C
What might this assessment indicate?
A) Angina
B) Hyperglycemia
C) Fistula
D) Aspiration pneumonia
Ans: D
Feedback: Pulmonary complications from nasogastric tube placement can occur from aspiration or impairment of clearing the airway. Signs and symptoms include difficulty clearing the airway, tachypnea, and fever.
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The nurse is to give an intramuscular injection to an obese adult. What size needle is most appropriate?
a. 27 gauge, 3/8 inch c. 23 gauge, 1 1/2 inch b. 25 gauge, 1 inch d. 21 gauge, 2 inch
The nurse instructs the mother of a 2½-year-old child with hyperopia about the condition. Which statement indicates that teaching has been effective?
A) "She can see better close up than at a distance." B) "Now I know why when she is working on puzzles she says her eye is sleepy." C) "She has to have glasses right away." D) "At least by the time she gets married maybe she can have contacts."
On October 1 of the current year, the Florida Department of Health published statistics for several diseases for the first three quarters of the year. As of October 1, there have been 825 new cases of TB,
1206 new cases of AIDS, and 25 new cases of Lyme disease. The total number of active TB cases is 3221, of AIDS is 25,322, and of Lyme disease is 201. The incidence of AIDS in Florida during the first 9 months is: 1. 603 cases. 2. 1206 cases. 3. 12,661 cases. 4. 25,322 cases.
The nurse cares for a victim of a violent sexual assault. What is the most therapeutic intervention?
a. Use accepting, nurturing, and empathetic communication techniques. b. Educate the victim about strategies to avoid attacks in the future. c. Discourage the expression of feelings until the victim stabilizes. d. Maintain a matter-of-fact manner and objectivity.