Which respiratory findings assessed by the nurse indicate that a child is close to death? Select all that apply
1. Tachypnea
2. Dyspnea
3. Diaphoresis
4. Confusion
5. Accumulation of secretions in the throat
1, 2, 5
Explanation:
1. Tachynpea is a respiratory finding that may indicate the child is close to death.
2. Dyspnea is a respiratory finding that may indicate the child is close to death.
3. Diaphoresis is a cardiovascular, not respiratory, finding indicating the child is close to death.
4. Confusion is a neurologic, not respiratory, finding indicate the child is close to death.
5. As the child approaches death, the muscles relax and secretions accumulate in the oropharynx and bronchi, causing noisy breathing as air passes through the secretions.
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The Nurse Practice _____ indicates the acceptable scope of nursing practice for the different levels of nursing
ANS:
An older patient reports having a white patch inside the mouth. The nurse assesses a 2 cm by 2 cm lesion on the inner aspect of the left jaw. How should the nurse respond to the patient?
1. "Rinse with a mild solution of hydrogen peroxide and water." 2. "The white patch is the result of aging and no cause for concern." 3. "You should contact your healthcare provider for an evaluation of the area." 4. "I think the patch looks like a bacterial infection and you will most likely need an antibiotic."
A nurse explains to a patient that Healthy People 2020 was established by the Office of Disease Prevention and Health Promotions (ODPHP) to do which of the following? Select all that apply
1. Fund exercise programs and weight-management initiatives in the workplace. 2. Force tobacco companies and other manufacturers of unhealthy products to close. 3. Achieve health equity and eliminate disparities. 4. Create social and physical environments that promote good health. 5. Promote quality of life, healthy development, and healthy behaviors.
The patient with assessment findings of stroke has a normal CT scan upon admission to the emergency department. How should the nurse evaluate this information?
1. Intracranial aneurysm is a more likely diagnosis. 2. The patient must have a psychosomatic illness. 3. A second CT done later may show damage. 4. The patient should have an electroencephalogram.