A pt is admitted to the hospital for treatment of pneumonia. Which nursing assessment finding best indicates that the patient is responding to antibiotics?
a. Wheezing, oxygen at 2 L/min, respiratory rate 26, no shortness of breath or chills
b. Temperature 99 F, lung sounds clear, pulse oximetry on 2 L/min at 98%, cough with yellow sputum
c. Cough, clear sputum, temperature 99 F, pulse oximetry at 96% on room air
d. Feeling tired, respiratory rate at 28 on 2 L/min of oxygen, audible breath sounds
Answer: c. Cough, clear sputum, temperature 99 F, pulse oximetry at 96% on room air
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The nurse is planning a dental health promotion class for a group of 5th-graders. Which of the following would most likely increase the risk of tooth decay?
A) Diet cola B) Raw carrots C) Shelled peanuts D) Cheddar cheese
Your client has yellow drainage from a wound. What does this fact indicate?
1. The wound is infected. 2. The client has a stage III ulcer. 3. The client has a stage IV ulcer. 4. It is unclear whether this wound is infected.
A client is prescribed a medication to be administered through the parenteral route. The nurse would expect that this medication will be provided through which method?
1. Subcutaneous injection 2. Intramuscular injection 3. The oral route 4. Intradermal injection 5. Intravenous infusion
When developing a teaching plan for a migrant family with members who are infected with tuberculosis, the nurse should not incorporate which of the following principles?
A. patients must recognize a need to learn the information presented B. patients are often unwilling to meet on an ongoing basis; therefore information should be presented in one meeting C. an effective teaching plan will increase patient compliance D. a variety of teaching skills may be needed at different times for the same patient