You are providing high-flow oxygen to a 3-year-old boy with severe respiratory distress. When you reassess him, you note that he is pale and his respiratory rate has decreased from 30 breaths/min to 12 breaths/min. You should:
A) assist his ventilations with a bag-mask device.
B) secure his airway with an ET tube.
C) begin treatment with a beta-2 agonist medication.
D) auscultate his lung sounds and reassess his SpO2.
Answer: A) assist his ventilations with a bag-mask device.
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Expected nursing documentation includes: (Select all that apply.)
a. nursing assessment. b. the care plan. c. critique of the physician's care. d. interventions. e. patient responses to care.
The nurse educator is reviewing the component of a psychosocial assessment with a group of students. Which definition of psychosocial health is appropriate for the educator to include in the review session?
1. Being emotionally balanced and socially astute. 2. Being mentally stable, physically fit, and psychologically well. 3. Being spiritually and psychologically mature. 4. Being mentally, emotionally, socially, and spiritually well.
A laboring client asks the nurse, "Why does the physician want to use an intrauterine pressure catheter (IUPC) during my labor?" The nurse would accurately explain that the best rationale for using an IUPC is which of the following?
1. The IUPC can be used throughout the birth process. 2. A tocodynamometer is invasive. 3. The IUPC provides more accurate data than does the tocodynamometer. 4. The tocodynamometer can be used only after the cervix is dilated 2 cm.
A patient with a history of GI ulcers reports feeling new onset burning, gnawing stomach pain. What is the nurse's best action?
a. Assess the patient's abdomen for the presence of active bowel sounds. b. Administer the already ordered as-needed dose of liquid antacid. c. Offer the patient food to buffer excess stomach acid. d. Notify the prescriber immediately.