Diminished to absent breath sounds on the right side, tracheal deviation to the left side, and asymmetrical chest movement are indicative of which of the following disorders?
a. Tension pneumothorax
b. Pneumonia
c. Pulmonary fibrosis
d. Atelectasis
A
Diminished to absent breath sounds on the right side, tracheal deviation to the left side, and asymmetrical chest movement are indicative of tension pneumothorax.
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The nurse is providing care to an ill child and his family. Which of the following activities would deviate from the basic principles of case management?
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Which action is most appropriate during a preoperative chart review?
a. Ensure that the consent form is signed, dated, and witnessed. b. Call the surgeon if the client has any food allergies. c. Make sure all marks are washed off the surgical site. d. Make sure the client understands the pro-cedure.
The nurse is assessing heart rate for children on the pediatric ward. Which of the following is a normal finding based on developmental age?
A) An infant's rate is 90 bpm. B) A toddler's rate is 150 bpm. C) A preschooler's rate is 130 bpm. D) A school-age child's rate is 50 bpm.
The client following major surgery under general anesthesia arrives on the nursing unit 4 hours following surgery. The first set of vital signs are T 37.6; P 100; R 30; and BP 100/68. The nurse's first action should be to:
a. Notify the health care provider. b. Assess the vital sign readings from the recovery room. c. position the client for comfort and assess pain level. d. prepare to increase the client's IV rate and administer blood products.