A child is exhibiting marked trouble breathing and complains of feeling SOB. A high pitched musical sound is heard on inspiration and expiration. How would the nurse best classify this dyspnea?
A. stridor
B. unlabored
C. exertional dyspnea
D. wheezing
Answer: D. wheezing
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In response to a patient's elevated blood glucose level, the nurse has administered a dose of insulin as ordered. The nurse understands that insulin results in a lowered level of blood glucose by:
A) Breaking the molecular bonds in glucose molecules B) Stimulating thyroid hormone release and increasing metabolic needs C) Inhibiting the action of glucagon D) Facilitating glucose transport into body cells
The patient with angina asks what to do if the first nitroglycerin tablet (NGT) does not relieve the pain. What instruction by the nurse is correct?
a. "Take 2 tablets 10 minutes after the first dose and go to the ER if you are still hav-ing pain." b. "Take a second tablet 15 minutes after the first dose and call the physician if you are still having pain." c. "Take 2 more tablets 30 minutes apart, and then rest for 20 minutes." d. "Take 2 more tablets 5 minutes apart and notify the physician if your pain is not re-lieved."
While discussing labor and delivery during a prenatal visit, a primigravida asks the nurse when she should go to the hospital. What is the nurse's most informative response?
a. "When you feel increased fetal movement" b. "When contractions are 10 minutes apart" c. "When membranes have ruptured" d. "When abdominal or groin discomfort occurs"
A patient is admitted after a motor vehicle crash resulting in blunt trauma to the abdomen. On initial examination, the nurse notices that the abdomen is bruised and slightly rounded, and the patient complains of abdominal pain
What is the most appropriate nursing action? A) Auscultate for bowel and vascular sounds B) Measure abdominal girth at umbilicus C) Reassess vital signs immediately D) Elevate the head of the bed to 15 degrees