Retractions of the intercostal spaces generally occur
a. upon inspiration. c. while coughing.
b. upon expiration. d. throughout the respiratory cycle.
A
Retractions occur when the muscles between the ribs pull in during inspiration. The presence of retractions is abnormal and usually occurs during inspiration. Conditions that obstruct the free inflow of air can lead to retractions. These include emphysema, asthma, tracheal or laryngeal obstruction, and the presence of a foreign body or tumor that compresses the respiratory tract. Bulging of the intercostal spaces is also abnormal and occurs during expiration.
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A patient's medication administration record orders the IM administration of chlorpromazine. When administering this drug, the nurse should
A) observe the patient while he or she self-administers the drug. B) administer the drug into the deltoid muscle with a 1 1/2-inch needle. C) have the patient massage the injection site for 1 to 2 minutes after the injection. D) have the patient lie down for 30 to 60 minutes after the injection.
The nurse is caring for a pregnant patient recently diagnosed with hypothyroidism. The patient tells the nurse she does not want to take medications while she is pregnant. What will the nurse explain to this patient?
a. Hypothyroidism is a normal effect of pregnancy and usually is of no conse-quence. b. Neuropsychologic deficits in the fetus can occur if the condition is not treated. c. No danger to the fetus exists until the third trimester. d. Treatment is required only if the patient is experiencing symptoms.
When a client is admitted to the ED with respiratory distress and rapid-sequence induction (RSI) is needed to intubate the client, the nurse should first
a. apply nasal oxygen. b. establish intravenous (IV) access. c. hyperventilate with 50% oxygen. d. insert a nasogastric tube.
Which statement is correct regarding breathing?
a. Before inspiration, the pressure inside the chest cavity is higher than atmospheric pressure. b. During expiration, the intrathoracic pressure rises to allow the air to escape into the atmosphere. c. When the chest wall moves, the lungs move. d. During inspiration, the chest wall is com-pressed.