Which of these respiratory assessments would be normal for a 24-year-old client?
a. exhibits costal, sternal, and subclavicular retractions with nasal flaring at a rate of 28 per minute, and complains of shortness of breath
b. exhibits very shallow respirations at a rate of 8 per minute
c. uses abdominal muscles at a rate of 12 per minute, without complaints of dizziness
d. uses thoracic muscles at a rate of 18 per minute
D
The respiratory assessment findings in an adult would reveal the use thoracic muscles and a rate of 12 to 20 per minute.
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A client is having a radioisotopic imaging scan. What action by the nurse is most important?
a. Assess the client for shellfish allergies. b. Place the client on radiation precautions. c. Sedate the client before the scan. d. Teach the client about the procedure.
A homeless person is brought to the emergency department after having been found asleep on a park bench under a layer of snow. He has a rectal temperature of 95° F. Which additional symp-toms should the nurse anticipate?
a. Diminished breath sounds and inadequate chest expansion b. Shivering, decreased heart rate, and in-creased blood pressure (BP) c. Confusion, increased hunger, and hyper-tension d. Decreased irregular heart and respiratory rates and decreased BP
According to structural contingency theory, agencies should have more formal structures:
1. When employees perform varying tasks 2. When employees have high levels of professional education 3. When the industry or environment in which the agency operates is changing 4. As the agency grows larger
The nurse is caring for a newly admitted client who is scheduled for diagnostic testing in the morning. Which of the following client needs should take priority?
1. Inventory of clothes and other personal belongings 2. Orientation to the nursing unit and individual room 3. Interview regarding medications currently being taken 4. Assessment of body systems for presurgery checklist