A 10-month-old infant presents with an acute onset of increased work of breathing. According to the infant's mother, the child was crawling around in the living room prior to the event and was fine 10 minutes earlier. Your assessment reveals that the infant appears alert to his surroundings, has loud inspiratory stridor, and pink skin. You should:
A) look inside the infant's mouth using a tongue blade and penlight.
B) avoid agitating the infant, offer supplemental oxygen, and transport.
C) deliver five sharp back slaps between the infant's shoulder blades.
D) apply a pediatric nonrebreathing mask and transport expeditiously.
Answer: B) avoid agitating the infant, offer supplemental oxygen, and transport.
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A patient has been prescribed metformin for treatment of type 2 diabetes. Which teaching would the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "You are likely to have one or two episodes of hypoglycemia while your body adjusts to this medication.". 2. "If you need any diagnostic testing that requires radiocontrast dye, be certain to report that you are taking metformin.". 3. "You may have mild stomach upset at first when taking this medication.". 4. "Take this medication just before you begin to eat.". 5. "You may develop a persistent cough while taking metformin.".
After hip replacement surgery, the patient should be instructed to
A) use the trapeze and lift by pushing down with the affected leg. B) keep the legs in a position of abduction as much as possible. C) avoid crossing the legs when in the bed or chair. D) maintain the extremity in flexion as much as possible.
The nurse is caring for a patient scheduled for a lumbar puncture. Which actions should the nurse anticipate providing? (Select all that apply.)
a. Position the patient prone on the bed. b. Check the puncture site for swelling or drainage. c. Ensure that the patient has given informed consent to the procedure. d. Keep the patient on bedrest with the head of the bed flat for 6 hours after the procedure. e. Limit fluid intake. f. Assess movement and sensation of lower extremities frequently for several hours after the procedure.
A patient in an outpatient oncology clinic is going to have a PICC line placed, and wants to know what that means. What is the best response by the nurse?
a. "A PICC line is a catheter that is inserted into your jugular vein and ends in the central circulation." b. "A PICC line is just a regular IV, but an extra-small catheter is used to prevent vein irritation." c. "A PICC line is a percutaneous intravenous core catheter." d. "A PICC line is an intravenous device that is inserted into your arm and ends in the circulation near your heart."