Parents bring an 8-month-old boy to the emergency department, reporting that their son "just isn't acting right." Nursing assessment shows that the infant's pulse is 165 beats/min
Respiratory rate, blood pressure, and temperature are within normal limits. Mild nasal flaring is noted. What should the nurse suspect?
A) Cardiac decompensation
B) Foreign body in trachea
C) Sepsis
D) Respiratory distress
D
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With a history of breast cancer in the family, a 48-year-old female client is interested in learning about the modifiable risk factors for breast cancer
After the nurse explains this information, which statement made by the client indicates that more teaching is needed? a. "I am fortunate that I breast-fed each of my three children for 12 months." b. "It looks as though I need to start working out at the gym more often." c. "I am glad that we can still have wine with every evening meal." d. "When I have menopausal symptoms, I must avoid hormone replacement therapy."
Escharotomies were performed on the arms of a client because of circumferential burn injuries. The nurse's first priority assessment would be to assess the arms for:
1. Circulation in the extremity distal to the escharotomy. 2. Wound infection in the escharotomy site. 3. The extent of the client's ability to perform range-of-motion exercises. 4. The contracture formation.
The school nurse only had the resources for one education program for all the schools' teachers and support staff. What one program is probably the most crucial?
a. Asthma b. Diabetes c. Epilepsy d. Measles and mumps
When a nurse supports the client's spiritual needs, the nurse supports which level of the Maslow's hierarchy of needs?
a. Security needs b. Physiologic needs c. Ego needs d. Self-actualization needs