The nurse recognizes which indications of respiratory distress? (Select all that apply.)
a. Gasping
b. Wheezing
c. Stridor
d. Choking
e. Stupor
A, B, C, D
All options except stupor are indicators of respiratory distress.
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The nurse is assisting a 12-year-old kidney transplant recipient to select items from the hospital menu. Which meal indicates an appropriate understanding of dietary restrictions?
A. Chicken alfredo, breadstick B. Cheese pizza, fruit cocktail C. Lasagna, salad, breadstick D. Pasta with tomato sauce, salad
The hospice nurse is caring for a 45-year-old mother of three young children in the patient's home
During the most recent visit, the nurse has observed that the patient has a new onset of altered mental status, likely resulting from recently diagnosed brain metastases. What goal of nursing interventions should the nurse identify? A) Helping the family to understand why the patient needs to be sedated B) Making arrangements to promptly move the patient to an acute-care facility C) Explaining to the family that death is near and the patient needs around-the-clock nursing care D) Teaching family members how to interact with, and ensure safety for, the patient with impaired cognition
A nurse is caring for a child with nephritic syndrome who is severely edematous and has been placed on complete bed rest. Which of the following is a priority intervention for this client?
1. Reposition the child every two hours 2. Monitor blood pressure every 30 minutes 3. Encourage fluids 4. Limit visitors
A nurse assesses a client who is experiencing acute pain. Which aspects of the pain assessment are gathered first before the detailed assessment? Select all that apply.
A. Location B. Provocation C. Intensity D. Quality E. Radiation