A sign or symptom of airway compromise that requires immediate attention is the:
A. Ability of the client to speak
B. Ability of the client to cough forcefully
C. Presence of wheezing between coughs
D. Presence of a gurgling with respiratory cycle
D
D. Signs and symptoms include upper airway "gurgling" with respiratory cycle. This condition places the client at risk for obstruction of upper airway.
A and B. Normal response without evidence of airway obstruction or compromise.
C. Wheezing may be present as symptom of allergy but not necessarily airway obstruction.
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The nurse is preparing to perform a focused assessment, using inspection, of a 10-year-old client admitted with asthma. The nurse is aware that a quiet environment is best for the assessment for which of the following reasons?
1. The client might be bothered by noise and have another attack. 2. Hearing audible wheezes is an important part of inspection. 3. The child's blood pressure will rise in a noisy environment. 4. The client will not be able to hear the nurse's questions.
A 20-year-old male college student has recently finished a Thanksgiving dinner of heroic proportions while home for the holiday weekend. Which of the following phenomena would most likely have produced his sensation of satiety?
A) Stretch receptors in the stomach and small intestine signal the feeding center in the medulla. B) Increased levels of leptin stimulate a decrease in appetite by way of the vagus nerve. C) The breakdown of products of lipids such as ketoacids produces a decrease in appetite. D) Cholecystokinin and glucagon-like peptide-1 suppress the hunger impulse.
A Delta wave on the electrocardiogram (ECG) may be present in which condition?
a. Prinzmetal's angina c. Wolff-Parkinson-White syndrome b. Bundle Branch Block d. Aortic stenosis
Florence Nightingale advocated:
a. Putting the patient in the best condition for nature to act upon. b. That nursing registration was critically important to advancement of the profession. c. That women should be medical doctors. d. That germs are dangerous and need to be guarded against with quarantine.