The nurse hears wheezing in a 4-year-old. Which of the following conditions would most likely be ruled out because of this assessment finding?
A) Bronchiolitis
B) Asthma
C) Influenza
D) Cystic fibrosis
C
Response:
Wheezing is not a symptom of influenza. However, wheezing may be heard if the influenza has led to bronchiolitis. Wheezing is caused by an obstruction of the bronchioles that may be due to bronchiolitis, asthma, cystic fibrosis, or chronic lung disease.
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The critical care nurse is unable to read a physician's writing. From prior experience, the nurse knows that this physician is likely to express anger and use inappropriate language when called with questions about his orders
What does this situation illustrate about the development of excellence in critical care nursing? A) A common stumbling block for nurses is inappropriate and abusive treatment by others. B) Part of the development of excellence is mastery of skilled communication under stress. C) Physicians are not part of the development of excellence in critical care nursing practice. D) This situation demonstrates the need to adhere to protocols and not the development of excellence.
A woman admitted in labor asks if she can have a doula present with her. The nurse understands that a doula is which of the following?
A. A massage therapist with a specialty in labor massage B. A trained labor coach standing in for the woman's partner C. A woman who is experienced in labor and provides support to the woman D. Someone who is trained and licensed to deliver babies in the hospital
The human body is designed to protect its vital parts. A fracture of what type of bone may interfere with the protection of vital organs?
A) Long bones B) Short bones C) Flat bones D) Irregular bones
A 33-year-old computer salesman was admitted to the hospital for hypomanic behavior. His wife states that he has always been aggressive and "can sell ice to people in Alaska." He has many interests and has had two promotions in the last year
For the past 2 weeks, he has worked night and day on a plan he believes will enable him to buy out most of the computer software companies. He is restless and talks constantly. Which of the following nursing interventions would have the highest priority in this client's immediate care? a. Discuss the reality of his business plans with him. b. Encourage problem solving and responsible behavior. c. Help him gain insight into feelings of low self-esteem. d. Provide a structured, nonstimulating environment.