The telephone triage nurse receives a call from a parent who states that her 18-month-old is making a crowing sound when he breathes and is hard to wake up. The nurse should:

1. Obtain the history of the illness from the parent.
2. Advise the parent to hang up and call 911.
3. Make an appointment for the child to see the health care provider.
4. Reassure the parent and provide instructions on home care for the child.


2
Rationale:
1. This action would be appropriate only in nonemergency situations.
2. The nurse should immediately recognize the symptoms of severe upper respiratory distress and advise the parent to call 911.
3. This action would be appropriate only in nonemergency situations.
4. This action would be appropriate only in nonemergency situations.

Nursing

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The nurse administers vaccinations that stimulate the client to form antibodies in order to support the client's:

1. Natural active immunity. 2. Artificial active immunity. 3. Natural acquired immunity. 4. Artificial acquired passive immunity.

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The nurse is explaining to a patient with dysrhythmia how the heart conducts impulses that cause myocardial cells to contract simultaneously. The patient asks what structure allows this conduction from cell to cell

Which structure should the nurse mention? A) Intercalated disks B) Nuclei C) Mitochondria D) Ribosomes

Nursing

During the critique of a qualitative research study, the nurse notes the statement, "Saturation was achieved at the completion of 20 interviews." What is the significance of this statement?

a. The investigator should collect additional data. b. The data collection period has ended. c. Purposive sampling is now required. d. Random sampling should be initiated.

Nursing

Which physical illness is commonly found among the homeless?

a. tuberculosis b. heart disease c. arthritis d. eating disorders

Nursing