The nurse is admitting an 8-month-old infant to the pediatric unit. Vital signs are T 36.4oC, heart rate 160 bpm, and respiratory rate 38/min. The patient exhibits circumoral cyanosis and nasal flaring
Auscultation reveals diminished lung sounds in the bases of both lungs and grunting. What nursing diagnosis would be appropriate when writing the care plan for this child?
A) Inadequate gas exchange related to pneumonia
B) Respiratory decompensation related to inability to breathe
C) Cardiac decompensation related to tachycardia
D) Inadequate tissue perfusion related to heart rate
A
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A critical care nurse has reported off because of an illness. Which choice of replacement for this nurse would provide the best continuity of quality nursing care?
1. A nurse from an outside agency 2. A nurse from a hospital unit that has a low census today 3. A nurse from a decentralized internal float pool 4. A nurse from the centralized internal float pool
The nurse delivers the smallest size droplet for inhalation of medication. When documenting this action, which term will the nurse use?
1. Aerosolization 2. Atomization 3. Nebulization 4. Humidification
A client is scheduled for discharge to home after repair of an abdominal aortic aneurysm. As an acceptable activity during the first 6 to 12 weeks after surgery, the nurse would suggest
a. mowing the lawn. b. vacuuming the floor. c. walking. d. washing windows.
What is an important role that the nursing process fulfills in professional nursing?
a. Identifying specific nursing actions for which nurses can be held publicly ac-countable b. Distinguishing nursing care from medical care c. Preventing nurses from making errors in care that can lead to malpractice suits d. Forming the ethical basis for nursing practice