An older adult patient who reports difficulty breathing and a productive cough and has a low-grade fever is admitted to the hospital for diagnosis and treatment. Intervention for which of the following new-onset symptoms should take priority?
a. Confusion
b. Crackles on lung auscultation
c. Blood-tinged sputum
d. Fatigue
ANS: A
New onset confusion in a patient with respiratory symptoms is a sign of impaired gas exchange. It must be corrected immediately. Crackles, blood-tinged sputum, and fatigue are all important but are not the first priority.
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The client with type 2 diabetes is training to prepare for a marathon, and is brought to the urgent care center with hypoglycemia. The nurse's instructs are based on the knowledge that:
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The nurse is caring for a 12-year-old boy with idiopathic thrombocytopenia. The nurse is providing discharge instructions about home care and safety recommendations to the boy and his parents
Which of the following responses indicates a need for further teaching? A) "We should avoid aspirin and NSAIDs." B) "He can resume football practice in 2 weeks." C) "Swimming would be a great activity." D) "Our son cannot take any antihistamines."
A community health nurse is working with an international agency in Australia. The nurse would most likely encounter which type of health care system?
A) Entrepreneurial B) Welfare-oriented C) Comprehensive D) Socialist
Common manifestations following a traumatic experience that leaves a nurse thinking a client is experiencing physiologic hyperarousal include which of the following? Select all that apply
A) Urinates frequently B) Startles easily C) Overreacts to others D) Avoids places associated with the event E) Has vivid dreams