Your client has just had an invasive procedure to assess the respiratory system. What do you know should be assessed on this client?
A) Watery sputum
B) Loss of consciousness
C) Respiratory distress
D) Masses in pleural space
C
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After invasive procedures, the nurse must carefully check for signs of respiratory distress and blood-streaked sputum. Masses in the pleural space affect fremitus. General examination of overall health and condition includes assessing the consciousness of a client.
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Erikson's theory of psychosocial development recognizes that not everyone will be successful at each stage of development. Erikson's view emphasizes that failure in one stage of development means what for the person in later stages of development?
A) The failure can be corrected by successes B) The failure can never be corrected C) Repetition of the previous stage until success is achieved D) Going back to a previous stage to work through more tasks
The perinatal nurse notifies the physician of the findings related to Juanita's assessment. The first step in care will most likely be to:
A) Prepare Juanita for surgery B) Administer intravenous fluids C) Apply ice to the perineum D) Insert a urinary catheter
A psychiatric nurse who is working in an inpatient unit receives a call asking if an individual has ever been a client in the facility. Which response by the nurse is most appropriate based on legal and ethical obligations?
A) Confirm that the person has been seen at the facility but give no further information. B) Hang up on the caller. C) Refuse to give any information at all to the caller, citing rules of confidentiality. D) Suggest that the caller speak to the client's therapist.
An appropriate nursing intervention when caring for a child in traction is to:
a. Remove adhesive traction straps daily to prevent skin breakdown. b. Assess for tightness, weakness, or contractures in uninvolved joints and muscles. c. Provide active range-of-motion exercises to affected extremity 3 times a day. d. Keep child in one position to maintain good alignment.