A nurse is caring for a preschool-aged child who has been exposed to environmental tobacco smoke (ETS) on a regular basis. Which of the following is the child at greater risk for because of this exposure?
a. Middle ear infections
b. SIDS
c. Living in poverty
d. Behavioral disturbances
ANS: A
Children exposed to ETS experience increased episodes of middle ear infections, asthma, upper respiratory tract infections, and more missed school days. SIDS incidence increases with ETS exposure, but this is not a concern with a preschool-aged child.
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The nurse is caring for a client in the hospital with chronic heart failure that has marked limitations in his physical activity
The client is comfortable when resting in the bed or chair, but when ambulating in the room or hall, he becomes short of breath and fatigued easily. What type of heart failure is this considered according to the New York Heart Association (NYHA)? A) Class I (Mild) B) Class II (Mild) C) Class III (Moderate) D) Class IV (Severe)
When assessing a patient's sleep-wake pattern, the nurse keeps in mind circadian body patterns. Which assessment data would indicate that the client follows normal circadian sleep-wake patterns?
A) Highest level of alertness at 4 p.m. (1600 hours) B) Best coordination at 2:30 p.m. (1430 hours) C) Fastest reaction time at 10:00 a.m. (1000 hours) D) Greatest muscle strength at 12 noon (1200 hours)
A patient who is immunosuppressed asks the nurse why she is experiencing so many illnesses. How should the nurse respond?
1. "You are unable to develop immunity to common bacteria, so you will experience more illnesses.". 2. "Your body takes longer to develop an immune response.". 3. "Your body thinks everything is foreign matter and responds with an illness.". 4. "You are under severe stress, which is causing the illnesses.".
A patient has been hospitalized with hemophilia. Nursing management of this patient's care will include which interventions? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Administration of replacement factors 2. Providing education to the patient and family 3. Achieving a cure for the disorder 4. Managing pain 5. Environmental control of risk