The nurse assesses shallow respirations of 28 breaths/minute in a client with pleurisy. The nurse interprets this finding as indicating which of the following?
A) Client is hypoventilating
B) Client may have overdosed on narcotics
C) The pattern is expected with this condition
D) These are normal Kussmaul's respirations
C
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A 35-year-old recent immigrant is being seen in the clinic for complaints of a cough that is associated with rust-colored sputum, low-grade afternoon fevers, and night sweats for the past 2 months. The nurse's preliminary analysis, based on this history, is that this patient may be suffering from:
a. Bronchitis. b. Pneumonia. c. Tuberculosis. d. Pulmonary edema.
A leading cause of death in critically ill patients is sepsis and septic shock. What nursing intervention is most directed toward preventing this life-threatening complication?
A) Strict adherence to hand hygiene protocols B) Prompt initiation of isolation protocols C) Patient and family preventive teaching D) Sterile technique for care of intravenous sites
The nurse researcher is reviewing a research article that used systematic sampling. What is systematic sampling?
A) Selection of every kth case from a list B) Standard distance between the selected elements in the sample C) Multistaged selection of random samples from larger units D) Divides the population into homogeneous strata to ensure representation of subgroups
A 28-year-old female client was admitted 3 days ago after she ran nude through the streets shouting that she was the "Queen of Hearts."
Since admission, the client remains delusional, shouts obscenities, and demonstrates loosely asso-ciated thoughts. Based on these data, the nurse should develop a nursing diagnosis of: 1. Risk for violence 2. Defensive coping 3. Disturbed thought processes 4. Impaired memory