A child is admitted to the hospital with asthma. Which assessment findings support this diagnosis?
a. Nonproductive cough, wheezing
b. Fever, general malaise
c. Productive cough, rales
d. Stridor, substernal retractions
ANS: A
Asthma presents with a nonproductive cough and wheezing. Pneumonia appears with an acute onset, fever, and general malaise. A productive cough and rales would be indicative of pneumonia. Stridor and substernal retractions are indicative of croup.
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A client with hyperlipidemia is prescribed ezetimibe. Which of the following assessments should the nurse perform during treatment?
A) Taking a dietary history of the client B) Inspecting skin and eyelids for evidence of xanthomas C) Obtaining reports of fasting blood sugar levels D) Frequently monitoring blood cholesterol
The nurse received orders to obtain a vaginal culture and start an antibacterial agent. The nurse should:
1. start the drug as ordered and take the culture within 6 hours of drug initiation. 2. obtain the vaginal specimen prior to starting the antibacterial agent. 3. obtain the specimen and add a label stating that the antibacterial agent was started 4 hours prior to collection. 4. delay initiation of the drug until the results have been returned from the laborato-ry.
The nurse provides care in a hospital in an inner-city with a large immigrant population. How can the nurse provide the most culturally competent care?
1. Approach the care of every patient in the same manner. 2. Plan to attend educational programs to understand ethnic differences in health values. 3. Discuss with the supervisor the types of patients for whom the nurse feels prepared to provide care. 4. Realize that the best care is standardized care.
When caring for an elderly patient who is intermittently confused, what is the nurse's primary concern regarding fluid and electrolytes?
1. Risk of dehydration 2. Risk of kidney damage 3. Risk of stroke 4. Risk of bleeding