The emergency department triage nurse is assessing a child who has a history of a cough and nasal congestion for the last three days. When assessing patency of the nares, the nurse notes that the child is unable to breathe through the right nostril. Which interpretation of the assessment data by the nurse is the most appropriate?
A. Normal for a child.
B. A result of sinusitis.
C. A result of chronic allergies.
D. Produced by severe nasal inflammation or obstruction.
Answer: D
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The dorsal surface of the hand is most often used for the assessment of:
a. crepitus. b. temperature. c. texture. d. vibration.
Which nurse best demonstrates an understanding of cultural values of patients?
A) The nurse who feels that the patient is not listening because there is no eye contact B) The nurse who is frustrated because the patient is late for every appointment C) The nurse who makes a point of touching the child of the Hispanic family D) The nurse who uses the patient's son to translate for the gynecologist
Amber is a nursing student who works for a medical unit in the hospital. One of her job duties as a student nurse is to bathe patients. One of the patients she is responsible for, Mrs. Jones, is a 79-year-old patient with diabetes with fragile skin
Which of the following will most likely not cause Mrs. Jones to experience impaired skin integrity? A. Daily bathing B. Inadequate fluid and nutrition C. Turning and repositioning D. Use of superfatted soap
A nurse is educating a client with chronic obstructive pulmonary disease (COPD). The nurse explains that the client will want to select foods high in which of the following? Select all that apply.
A) Iron B) Vitamin B12 C) Selenium D) Vitamin A E) Vitamin E