Aspiration is:
a. Loss of appetite
b. Breathing of fluid, food, vomitus, or an object into the lungs
c. Backward flow of food from the stomach into the mouth
d. Swelling of body tissues with water
B
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The clinic nurse reviews the signs and symptoms of toxic shock syndrome (TSS) with Brenda, a patient who is currently being fitted for a diaphragm
The nurse explains that Brenda should promptly seek medical attention if she: Select all answers that apply: A) Develops a temperature greater than 101.1oF (38.4oC) B) Feels lightheaded, dizzy, or has chills C) Develops a generalized red rash D) Experiences difficulty breathing or shortness of breath
Screening at 24 weeks reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected out-come is to prevent injury to the fetus as a result of GDM
The nurse identifies that the fetus is at greatest risk for: 1. macrosomia. 2. congenital anomalies of the central nervous system. 3. preterm birth. 4. low birth weight.
A clinic nurse is caring for a 19-year-old client who lost his parents in an automobile accident. The client lives with his elderly grandmother. The client turns down his acceptance to the college
As a result, the nurse should anticipate that the client may have difficulty moving through which stage of the family lifecycle? A) Family with adolescents B) Single young adult C) Family in later life D) Family launching grown children
A patient who has just been started on continuous tube feedings of a full strength commercial formula at 100 mL/hr using a closed system method has six diarrhea stools the first day. What action should the nurse plan to take:
a) Slow the infusion rate of the tube feeding b) Check the gastric residual volumes more frequently c) Change the internal feeding system and formula every 8 hrs d) Discontinue administration of water through the feeding tube