If an infant or small child swallowed a rigid foreign body, he or she would MOST likely experience respiratory distress because:
A) a foreign body in the esophagus would cause reflux and aspiration.
B) when an infant or child is stressed, he or she tends to swallow a lot of air.
C) the feeling of a foreign body in the throat would cause severe anxiety.
D) the esophageal foreign body can compress the relatively pliable trachea.
Answer: D) the esophageal foreign body can compress the relatively pliable trachea.
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The nurse believes a client is approaching a state when the number of stressors will exceed the client's ability to cope. The nurse believes the client is experiencing:
a. crisis. b. catharsis. c. adaptation. d. homeostasis.
A client recovering from surgery to repair a fractured hip is having difficulty ambulating with crutches. Which of the following should the nurse do?
1. Review the crutch walking instruction sheet with the client 2. Suggest the client walk with a cane 3. Consult with physical therapy to determine if a walker would be more appropriate 4. Maintain the client on bed rest until able to ambulate with the crutches
The nurse is caring for a patient who has a chest tube connected to a water seal. The patient is not on a ventilator. Which of the following would the nurse consider normal?
a. The fluid level in the water seal rises with inspiration. b. The fluid level in the water seal falls with inspiration. c. Constant bubbling occurs in the water seal. d. The fluid level in the water seal falls with expiration 3 days after insertion.
The nurse has just initiated oxygen by nasal cannula for a client with the medical diagnosis of chronic obstructive pulmonary disease. What is the nurse's next action?
1. Fill the humidifier with normal saline. 2. Pad the tubing where it contacts the client's ears. 3. Set the oxygen delivery to 5 liters. 4. Secure the cannula with ties around the client's head.