The nurse assessing an 11-year-old who is having an asthma attack expects to hear adventitious sounds of:
a. friction rub.
b. sibilant wheezes.
c. crackles.
d. sonorous wheezes.
ANS: B
The narrowed bronchioles characteristic of an asthma attack would produce sibilant wheezes, which are high-pitched whistling sounds.
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Indicate whether the statement is true or false
In the Progressive Patient Care system, a patient will
A) work with a case manager who coordinates his or her care. B) move from one unit to the next as his or her health needs change. C) develop an understanding that death is a natural part of life. D) receive care from one nurse throughout his or her entire hospitalization.
A client taking an oral theophylline preparation is due for her next dose and has a blood pressure of 100/50 mm Hg and a heart rate of 110. The client is irritable. What is the best action for the nurse to take?
a. Continue to monitor the client. b. Call the health care provider. c. Hold the next dose of theophylline. d. Administer oxygen 2 lpm via nasal cannula.
What transmission-based precautions need to be instituted for D.H.? Select all that apply
a. Placing D.H. in a private room b. Wearing a gown for all patient contacts c. Wearing gloves during contact with oral secretions d. Wearing a respirator each time on entering the room e. Placing D.H. in a room with negative airflow pressure f. Wearing a surgical mask each time on entering the room