A client arrives in the emergency room stating inability to sleep, tightness in the chest, and difficulty breathing. Upon assessment, the nurse notes expiratory wheezes and dyspnea. Which action should the nurse take?
a. Administer oxygen via a Venturi mask, and initiate pulse oximetry monitoring until a health care provider is available to evaluate the client.
b. Allow the client to rest in the waiting area because the condition does not require immediate attention.
c. Find a health care provider who can immediately evaluate the client because symptoms indicate a severe asthma attack.
d. Notify a health care provider stat because the client requires immediate treatment for myocardial infarction and transfer to the cardiac care unit.
C
The principal manifestations of asthma are the sudden onset of wheezing, increasing dyspnea, and chest tightness; initial increase in respiratory rate, which decreases as the client tires; and use of accessory muscles to aid respiration. Cough, cyanosis, increased blood pressure and heart rate, and anxiety may also occur. The client needs to be evaluated by a health care provider immediately.
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A parent wonders why his baby needs all the blood samples to test for different diseases. What response by the nurse is best?
A. "Many serious disorders can be found before they cause damage or death." B. "This is a hospital policy; if you want to opt out you need to sign a waiver." C. "We see a lot of these diseases in our community so we screen for them." D. "Your baby doesn't need the blood tests if you don't want them."
Which of the following best describes how complementary and alternative therapies differ from traditional health care? (Select all that apply.)
a. Alternative therapies have been documented as ineffective. b. Complementary medicine is expanding because of paid media coverage. c. Nurses rarely are involved in complementary or alternative therapies. d. Providers vary in training and licensure. e. Reimbursement is often unavailable. f. Alternative therapies lack any research related to their effectiveness.
When providing care to the prenatal patient, the nurse understands that pica is defined as
a. Intolerance of milk products b. Iron deficiency anemia c. Ingestion of nonfood substances d. Episodes of anorexia and vomiting
The older adult who is admitted to the hospital following a closed head injury that resulted in a 5-minute period of unconsciousness will be observed for which change?
a. Increasing respiratory rate b. Decreasing heart rate c. Decreasing pulse pressure d. Decreasing level of consciousness (LOC)