The nurse assessing the respiratory status of a 3-year-old asthmatic child would include assessments of: (Select all that apply.)
a. Level of responsiveness
b. Color of skin
c. Prescribed medications
d. Respiratory effort
e. Texture of mucous membranes
A, B, D
The assessments that are significant are level of responsiveness, color of skin and mucous membranes, lung sounds, and respiratory effort. Texture of mucous membranes and prescribed medications are not part of the assessment.
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What types of neurons transmit impulses from receptors in the internal organs to the central nervous system?
a. Somatic sensory neurons b. Visceral sensory neurons c. Interneurons d. Efferent neurons
The patient has been in a motor vehicle crash and is in the critical care unit with severe brain injury
She is comatose but when painful stimuli are applied she extends, adducts, and hyperpronates her upper extremities and has plantarflexion of the feet. This action is called what? A) Decorticate posturing B) Decerebrate posturing C) Clonic-tonic activity D) Flacidity
The nurse is preparing to take the patient's temperature. Which of the following may cause the temperature to fluctuate? (Select all that apply.)
a. Age b. Stress c. Hormones d. Medications
The labor and delivery nurse is preparing a prenatal class about facilitating the progress of labor. Which pain response should the nurse identify as most likely to impede progress in labor?
1. Muscle tension 2. Increased pulse 3. Increased respirations 4. Elevated blood pressure