The nurse gives priority to assessing an older patient who presents with symptoms of acute respiratory distress for which other condition?
a. Substernal chest pain
b. A history of panic attacks
c. Any known allergies
d. Bruising on the chest
A
The symptoms of asthma and respiratory distress mimic other conditions such as myocardial ischemia. The nurse assesses for this condition as the priority over the others.
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The nurse is assessing breath sounds on a child. Which are expected auscultated breath sounds? (Select all that apply.)
a. Wheezes b. Crackles c. Vesicular d. Bronchial e. Bronchovesicular
The nurse is caring for a client with a surgical drain. Which should the nurse implement to break the chain of infection at the reservoir?
1. Avoid contact with soiled items. 2. Wash hands before and after care. 3. Perform a sterile dressing change. 4. Maintain function of surgical drain.
A school nurse is encouraging children to play a game of kickball. Which group of children is the nurse most likely addressing?
a. Infant b. Toddler c. Preschool d. School-aged
You are working in triage and have four patients with edema present to the window at once. Which patient will you take back first?
A. A 56 year old complaining of new onset pitting edema in legs B. A 13 year old who states he hit his head while playing basketball and now has a "goose egg" C. A 25 year old who states they have a "bug bite" and left arm is hot, red, and swollen D. A 42 year old who states he inhaled hot air when a propane tank exploded