A nurse assesses a client's respiratory status. Which observation indicates that the client is having difficulty breathing?
a) Diaphragmatic breathing
b) Use of accessory muscles
c) Pursed-lip breathing
d) Controlled breathing
Answer: b) Use of accessory muscles
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Which of the following would a community health nurse expect to assess in the adolescent population with an eating disorder?
A) High levels of peer support B) Clear sense of self C) Feelings of being in control D) Distorted body image
The nurse is preparing to administer a medication by the sublingual route. The highest priority is to
1. Determine whether the patient can swallow safely. 2. Identify what time the patient typically takes the medication at home. 3. Crush the medication and mix it with applesauce. 4. Assess the patient's mouth for lesions.
A nurse is learning a specialty and has been taking additional classes at the simulation center. Today's session was very distressful because her "client" dies due to her mistake
Which statement best recognizes a key component associated with this type of education? A) "As my friend said, don't worry about it, you can't kill a dummy." B) "Thank goodness, they gave me a printout of what I did so I can figure out what I did wrong." C) "My instructor was so patient, going over everything step-by-step and showing me what I did wrong." D) "Who knew you could hurt these simulators?"
A 6-year-old child has patient-controlled analgesia (PCA) for pain management after orthopedic surgery. The parents are worried that their child will be in pain. What should your explanation to the parents include?
a. The child will continue to sleep and be pain free. b. Parents cannot administer additional medication with the button. c. The pump can deliver baseline and bolus dosages. d. There is a high risk of overdose, so monitoring is done every 15 minutes.