A nurse is working at a clinic in a third world country and suspects a child has severe acute malnutrition (SAM). Which of the following assessment findings would be expected?
a. Distended abdomen
b. Bulging eyes
c. Large tears when crying
d. Lethargy
Answer: a. Distended abdomen
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A patient aspirated while eating and suffered a respiratory arrest. A code blue was called, the obstruction was removed, but the patient required endotracheal intubation. Postintubation, the nurse hears breath sounds bilaterally, but the carbon dioxide monitor indicates a higher than expected level. Which patient history could account for this discrepancy?
1. The patient's original admittance diagnosis was dehydration. 2. The patient's wife reports, "We were talking and laughing when he choked." 3. The patient has history of calcium deficiency requiring dietary supplementation. 4. The patient's wife says, "He had some heartburn earlier, so the nurse had given him a lemon-lime soda to drink with his supper."
When caring for a client receiving an immunosuppressant agent, the nurse should report which of the following values?
a. leukocyte count of 15,000 cells/mm3 c. neutrophil count 450 cells/mm3 b. leukocyte count of 1,300 cells/mm3 d. neutrophil count over 500 cells/mm3
Asphyxiation can occur when respiratory centers in the ______ are inhibited.
A. cerebellum B. lungs C. medulla D. forebrain
A male client comes to the emergency department complaining of nocturia and nonspecific fullness in the lower pelvic region. What is the best assessment question for the nurse to ask the client?
1. "Are you constipated?" 2. "Are you sexually active?" 3. "How old are you?" 4. "Do you take daily showers?"