An indication of complete airway obstruction is
A. the victim tells you she is choking.
B. high-pitched sounds on inhalation.
C. the victim coughing forcefully to expel a foreign body.
D. the victim has her fingers in her mouth.
Answer: B
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A client is admitted with injuries sustained from a domestic dispute. When planning care, the nurse will include which short-term interventions?
Select all that apply. A) Explore options for self-development. B) Improve quality of life by increasing self-esteem. C) Explore options for help. D) Convey safety. E) Determine immediacy of danger.
A patient has a colostomy in the descending (sigmoid) colon and wishes to control bowel evacuation and possibly stop wearing an ostomy pouch. To help achieve this goal, nurse should teach the patient to:
1) Call the primary care provider if the stoma becomes pale, dusky, or black. 2) Limit the intake of gas-forming foods such as cabbage, onions, and fish. 3) Irrigate the stoma to produce a bowel movement on a schedule. 4) Avoid returning to the use of an ostomy appliance if he becomes ill.
When the mother of an African American newborn asks the nurse about the bluish black areas around the infant's lower back and buttocks, the nurse instructs the mother that the discoloration
A) Should disappear by early childhood B) Be treated with laser surgery C) Will fade in 2 weeks D) Is permanent
The spouse of a deceased client is working through the stages of grief. If the nurse applies Martocchio's five clusters of grief to this situation, the spouse would progress through the clusters in which order?
1. Reorganization and restitution. 2. Yearning and protest. 3. Identification in bereavement. 4. Shock and disbelief. 5. Anguish, disorganization, and despair.