Which of the following occurs in respiratory distress?
A) Speaking in sentences of 10–20 words
B) Skin between the ribs moves inward with inspiration
C) Neck muscles are relaxed
D) Patient torso leans posteriorly
B) Skin between the ribs moves inward with inspiration
This description is consistent with retractions that occur with respiratory distress. Other features include speaking in short sentences, use of accessory muscles, leaning forward to gain mechanical advantage for the diaphragm, and pursed lip breathing, in which the patient exhales against his lips, which are pressed together.
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A Korean-American patient showed rare eye contact
This nursing diagnosis was formulated: Chronic low self-esteem related to shame and guilt as evidenced by lack of eye contact. Interventions were sought to improve the patient's self-esteem, but after 3 weeks the patient's eye contact was unchanged. Select the accurate analysis of this scenario. a. The patient's poor eye contact indicated anger and hostility that did not resolve. b. The nurse should have assessed the patient's culture before formulating this diagnosis and plan. c. Resolution of shame and guilt cannot be expected to occur in 3 weeks. The nurse should allow more time. d. The patient's eye contact should have been directly addressed by role-playing to increase comfort with eye contact.
Which male patient is likely to have the least facial hair?
1) Chinese American 2) African American 3) Irish American 4) Hispanic
You did not serve a resident's tray promptly. What should you do?
a. Check the food temperature. b. Order another tray. c. Serve the tray as soon as possible. d. Reheat the food in a microwave oven.
A nurse is teaching parents how to use an Epi-Pen for their child, who has a peanut allergy. Which statement by the parents indicates understanding of the teaching?
a. "After using the Epi-Pen, we must go to the emergency department." b. "The Epi-Pen should be stored in the refrigerator, because epinephrine is sensitive to heat." c. "The teacher should call us when symptoms start so that we can bring the Epi-Pen to school." d. "We should jab the device into the thigh until it is empty of solution."