The nurse counts a patient's respirations at 30 per minute. From this finding, what about the patient's respiratory status should cause the nurse concern?
A. Pneumonia is developing.
B. Pain is affecting the respiratory rate.
C. Respiratory arrest is beginning.
D. Increased carbon dioxide in the blood is being expelled.
Answer: D
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A patient has been stung by a bee and is brought to the emergency department. The nurse observes the sting site and identifies that the stinger is still in the skin. What action should the nurse take?
a. Remove it with sterile tweezers b. Soak the area with a cold compress c. Scrape the stinger with the side of a knife d. Squeeze the surrounding tissue to expel the stinger
A mother with diabetes has done some reading about the effects of the condition on her newborn. Which statement shows a misunderstanding that should be clarified by the nurse?
a. "Although my baby is large, some women with diabetes have very small babies because the blood flow through the placenta may not be as good as it should be." b. "My baby will be watched closely for signs of low blood sugar, especially during the early days after birth." c. "The red appearance of my baby's skin is due to an excessive number of red blood cells." d. "My baby's pancreas may not produce enough insulin because the cells became smaller than normal during my pregnancy."
The nurse is caring for a client who has myasthenia gravis. Which nursing intervention does the nurse implement to reduce muscle weakness in this client?
a. Administer a therapeutic massage. b. Collaborate with the physical therapist. c. Perform passive range-of-motion exercis-es. d. Reposition the client every 2 hours.
A patient is diagnosed with a bowel obstruction. The nurse chooses which type of tube for gastric decompression?
a. Salem sump b. Dobhoff c. Sengstaken-Blakemore d. Small bore