A mother brings her infant to you because of a “rattle” in his chest with breathing. Which of the following would you hear if there were a problem in the upper airway?
A) Different sounds from the nose and chest
B) Asymmetric sounds
C) Inspiratory sounds
D) Sounds louder in the lower chest
C) Inspiratory sounds
It is important to distinguish upper airway sounds from lower because many benign conditions cause upper airway noise, such as viral upper respiratory infections. It is reassuring to hear the same noises at the nose as at the chest. Lower respiratory conditions also are generally symmetric, and sounds are louder at the upper chest versus the lower chest. They are usually very harsh and loud, which concerns parents.
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A 22-year-old male is experiencing hypovolemic shock following a fight in which his carotid artery was cut with a broken bottle. What immediate treatments are likely to most benefit the man?
A) Resolution of compensatory pulmonary edema and heart arrhythmias B) Infusion of vasodilators to foster perfusion and inotropes to improve heart contractility C) Infusion of normal saline or Ringer lactate to maintain the vascular space D) Administration of oxygen and epinephrine to promote perfusion
The amount of calories and protein that a client weighing 185 pounds would require is at least
a. 1575 calories and 53 g of protein. b. 2394 calories and 62 g of protein. c. 2520 calories and 67 g of protein. d. 2743 calories and 73 g of protein.
A client requiring intermittent infusion therapy for cancer is usually treated in which of the following care settings? (Select all that apply.)
A. Home B. Skilled nursing facility (SNF) C. Inpatient unit D. Outpatient clinic E. Infusion center
A nurse is obtaining assessment data from an older client about sleep patterns. The client reports that she has been awakening during the night, awakens early in the morning and is unable to fall back to sleep, and feels sleepy during the daytime. Based on the data, which action should the nurse take?
A. Report the findings to the health care provider B. Document the findings in the medical record C. Ask the health care provider for a prescription for a nighttime sedative D. Encourage the client to consume stimulants such as caffeinated coffee or tea during the daytime hours