What is your immediate concern for C.B. and why?
What will be an ideal response?
C.B. is at risk for developing life-threatening respiratory dysfunction. The nerves innervating the
intercostal muscles and diaphragm are compressed and demyelinate, causing respiratory failure.
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A 45-year-old woman is at the clinic for a mental status assessment. In giving her the Four Unrelated Words Test, the nurse would be concerned if she could not ____ four unrelated words ____
a. Invent; within 5 minutes b. Invent; within 30 seconds c. Recall; after a 30-minute delay d. Recall; after a 60-minute delay
A nursing instructor is teaching about suicide among active duty military. Which fact should the instructor include in the lesson plan?
1. On average, two suicides a day occur in the U.S. military. 2. From 2005 to 2009, relationship distress factored in more than 25% of Army suicides. 3. Statistically, in 2012, suicide rates of service members surpassed the number killed in combat. 4. Military suicides are associated with a narcissistic personality disorder diagnosis.
A client's visit to the health care clinic reveals a blood pressure of 130/82. The client's blood pressure has been 138/88 at each of the last three clinic visits. The nurse recognizes that:
1. The client should be educated on lifestyle modifications now to diminish the client's increased risk of developing stage 1 or stage 2 hypertension. 2. The client is at higher risk for developing stage 1 or stage 2 hypertension. The nurse will provide education on lifestyle modifications and anticipates the client will be started on medications at this visit. 3. The client is not at any higher risk for developing hypertension than anyone else and will therefore continue to be monitored periodically. 4. The client's blood pressure meets the criteria for stage 1 hypertension. In addition to educating the client on lifestyle modifications, the nurse anticipates no need to start medication unless the blood pressure continues to climb.
The nurse is planning care for a school-age child who requires oxygen, enteral tube feedings, and IV medications during the school day. To which category of chronic illness does this child belong?
1. Dependent on special diet 2. Dependent on medical technology 3. Increased use of healthcare services 4. Functional limitations