The home health nurse visiting an asthmatic child notes that the readings from the peak flow meter (PFM) are registering in the yellow zone. This is an indication for:
a. Routine assessments; medication is controlling the attacks
b. Caution; an acute episode may be in progress
c. Alarm; short-term bronchodilators need to be administered
d. Concern; the meter is malfunctioning
B
When PFM readings are in the yellow zone, this indicates caution. Medication may need to be increased, or there may be an acute episode in progress.
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The nursing assistant remarks to the nurse, "The patient with amnesia looks together, but when I talk to her, she seems rather vague. What should I be doing for her?" The best reply would be:
a. "Provide more info about her past to reduce the unknowns that cause her anxiety.". b. "Use short, simple sentences and keep her environment calm and protective.". c. "Spend as much time with her as you can, and ask questions about her recent life.". d. "Structure her time with lots of activities to keep her busy and stimulated.".
The client scheduled for a partial thyroidectomy for hyperthyroidism asks the nurse why she is being given an iodine preparation before surgery. What is the nurse's best response?
A. "To make the surgery as sterile as possible." B. "To stimulate storage of thyroid hormones for use after surgery." C. "To replace the thyroid hormones that will be eliminated as a result of the sur-gery." D. "To decrease the blood vessels in the thyroid and prevent excessive bleeding during surgery."
A patient has an ankle restraint applied. Upon assessment the nurse finds the toes a light blue color. Which action will the nurse take next?
a. Remove the restraint. b. Place a blanket over the feet. c. Immediately do a complete head-to-toe neurologic assessment. d. Take the patient's blood pressure, pulse, temperature, and respiratory rate.
How many milligrams of Tylenol will the patient receive at each dose? 
A. 175 mg B. 650 mg C. 325 mg D. 975 mg