The client sustained an injury to the chest in a motor vehicle crash. Which assessment finding 3 hours later alerts the nurse to a possible pulmonary contusion?

A. Dyspnea
B. Hemoptysis
C. Hyperresonance on percussion
D. Increased chest pain with movement


B
Interstitial hemorrhage accompanies pulmonary contusion. Bleeding may not be evident at the initial injury, but the client develops hemoptysis and decreased breath sounds up to several hours after injury as bleeding into the alveoli or airways occurs.

Nursing

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The nurse tells the parents of a 7-year-old girl with kidney disease about a support group for parents in their situation. This is an example of which of the following elements of family-centered home care?

A) Enabling collaboration between parents and professionals B) Encouraging families to seek support from other families C) Sharing open and unbiased information with parents D) Implementing policies that provide emotional support

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What is descriptive of the social development of school-age children?

a. Identification with peers is minimum. b. Children frequently have "best friends." c. Boys and girls play equally with each other. d. Peer approval is not yet an influence for the child to conform.

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Congenital defects of the genitourinary tract, such as hypospadias, are usually repaired as early as possible to accomplish what?

a. Minimize separation anxiety. b. Prevent urinary complications. c. Increase acceptance of hospitalization. d. Promote development of normal body image.

Nursing

When assessing a toddler's language development, what is the standard against which you measure language in a 2-year-old?

A) He should say two words plus "ma-ma" and "da-da." B) He should speak in two-word sentences ("Me go"). C) He should be able to count out loud to 20. D) He should say 20 nouns and 4 pronouns.

Nursing