The nurse is examining a 5-year-old boy. Which of the following signs or symptoms is a reliable first indication of respiratory illness in children?
A) Slow, irregular breathing
B) A bluish tinge to the lips
C) Increasing lethargy
D) Rapid, shallow breathing
D
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A patient who sustained a head injury in a motor vehicle accident has damage to the temporal lobe. This injury places the patient at risk for which type of hearing loss?
a. Otosclerosis b. Conduction deafness c. Presbycusis d. Central deafness
The patient's nasogastric (NG) tube drains approximately 400 mL/day of yellow-green drainage. When the patient begins to complain of nausea, which intervention should the nurse implement first?
a. Irrigate the tube with 50 mL of water. b. Assess the patency of the NG tube. c. Replace the NG tube with a much larger tube. d. Elevate the patient's head and reassess.
As the nurse approaches a client in the psychiatric unit who is pacing steadily in the hall. The client makes an angry face, clenches a fist, and yells, "Leave me alone!" What should the nurse do next?
A) Put a soothing hand on the client's shoulder and ask him to come and sit down to talk. B) Move away quickly while telling the client that his voice is too loud. C) Tell the client he is not allowed to yell at nurses on the unit. D) Do not show fear, but move away slowly.
Which group would be likely to demonstrate the most cohesion?
a. A group with several leaders b. A group with diverse attitudes and values c. A group with a common goal d. A group with efficient members