The work-of-breathing component of the pediatric assessment triangle includes all of the following, EXCEPT:
A) listening for grunting or audible wheezing.
B) noting the child's position during breathing.
C) auscultating the lungs for adventitious sounds.
D) looking for substernal or intercostal retractions.
Answer: C) auscultating the lungs for adventitious sounds.
You might also like to view...
Adolescents who cope ineffectively with anxiety often express themselves by
1. looking within themselves. 2. talking about their problems. 3. engaging in high-risk behaviors. 4. regressing to earlier behaviors, such as thumb sucking.
A depressed client who is scheduled to receive electroconvulsive therapy this morning asks the nurse
"How is this treatment supposed to help me?" The best reply would be "Electroconvulsive therapy a. probably increases the availability of brain neurotransmitters.". b. makes you confused and you forget why you're feeling depressed.". c. serves as a punishment so your own conscience can stop punishing you.". d. works by opening your mind to learning and applying new coping skills.".
A male patient with urinary incontinence has been using an external (condom) catheter. The nurse is assessing the patient's technique of applying the device. The nurse should give the patient further instructions if he:
1. washes the penis with warm soapy water and dries the area well before applying the device. 2. encircles the penis with tape to secure the device. 3. uses elastic tape and wraps in a spiral pattern to secure the device. 4. assesses the penis carefully for any signs of irritation before applying the device.
A nurse has been caring for a client in a healthcare facility. Which document would be
most helpful in determining the client's ability to perform activities of daily living? A) Medical information systems (MIS) B) Medical administration record (MAR) C) Resident assessment protocol (RAP) D) Charting by exception (CBE)