A nurse is assessing a newly admitted patient and observes that he has an irritated, high-pitched cough. The nurse suspects that the patient has:
A) Stridor
B) Laryngotracheitis
C) Bronchitis
D) Pneumonia
Ans: B
Feedback: A cough in the morning with sputum production is indicative of bronchitis. Laryngotracheitis is associated with an irritated, high-pitched cough.
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A student nurse is caring for a patient who is a refugee
The patient will take his own blood glucose readings and will self-administer a set dose of insulin but will not follow a sliding scale regimen in which the patient has to choose what dose of insulin to give. What action by the student nurse is best? a. Ask the provider to prescribe only a set insulin regimen. b. Instruct the patient on the benefits of sliding scale insulin. c. Teach the patient that strict carbohydrate limits are needed. d. Ask the patient to explain the meaning of making this decision.
Which of the following describes the goal of alternative care facilities?
A) An RN and one or more assistive personnel care for a group of patients. B) An RN assumes all care for a small group of patients. C) There is 24-hour accountability by an RN. D) The facility provides the least restrictive living arrangement.
Which technique should the nurse use to cleanse the perineum of a female patient during urinary catheter insertion?
a. Rinse the perineum with warm antiseptic solution. b. Swab the perineum 3 times from the anus to the urinary meatus. c. Use the nondominant hand to keep the labia spread apart continuously. d. Use the nondominant hand to cleanse from the urinary meatus to the rectum.
Which intervention by the nurse would be best when trying to create a therapeutic milieu for a group of older adult patients?
a. Use soothing music, nonglare lighting, and the patients' personal articles. b. Use bright colors and the patient's personal articles, and plan frequent activities. c. Periodically rearrange the furniture for variety, but remove environmental barriers. d. Create a stable physical environment, but vary the daily routine to prevent boredom.