A shift of heart tones and severe respiratory distress despite positive-pressure ventilations is indicative of:

A) a pneumothorax.
B) a diaphragmatic hernia.
C) Pierre Robin sequence.
D) a pericardial tamponade.


Answer: A) a pneumothorax.

Nursing

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The nurse is planning oral hygiene for an older patient with a terminal illness who has an intact swallowing reflex. Which interventions would be appropriate for this patient? Select all that apply.

1. Offer ice chips frequently. 2. Provide care with soft swabs. 3. Apply petroleum jelly to the lips. 4. Brush the teeth three times a day. 5. Avoid using alcohol-based solutions.

Nursing

During a fishing trip, a patient pierced his finger with a large fishhook. He is now in the emergency department to have it removed. The nurse anticipates that which type of anesthesia will be used for this procedure?

a. No anesthesia b. Topical benzocaine spray on the area c. Topical prilocaine (EMLA) cream around the site d. Infiltration of the puncture wound with lidocaine

Nursing

The microscopic examination of scrapings from the cervix, endocervix, or other mucous membranes to discover premalignant or malignant cells is called:

1. a bimanual palpation. 2. a rectovaginal palpation. 3. a Papanicolaou smear. 4. a four A's procedure.

Nursing

A nurse is providing education to a patient about self-administering subcutaneous injections. Which of these patient statements indicates that the patient understands the instructions?

a. "I need to use a needle 1/2 inch longer than my thumb." b. "I will give the medicine deep into my deltoid." c. "My belly is a good place to give my injection." d. "I need to throw the syringe and needle into the garbage when I am done giving myself my shot."

Nursing