In completing a respiratory assessment of a 1-month-old infant, the nurse recognizes which finding as abnormal?
a. Sneezing
b. Coughing
c. Abdominal breathing
d. Predominantly nose breathing
ANS: B
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What is the best explanation of intuition that forms a legitimate source of knowledge in nursing?
a. It is based on knowledge thoroughly incorporated into thought but seldom articulated. b. It is based on a gift from the universe and should be honored when it arrives. c. It is never inaccurate. d. It is a revisiting of old knowledge, accompanied by deep reflection.
What type of breath sound would you expect to auscultate over most of the lung fields in a healthy patient?
A) Bronchial B) Tracheal C) Vesicular D) Bronchovesicular
When caring for a client receiving IV oxytocin infusion, the nurse observes the client has developed a pounding pulse, increased blood pressure, and moist respirations. The nurse prepares to:
a. increase the oxytocin infusion rate. c. lower the head of the client's bed. b. discontinue the client's IV access. d. decrease the oxytocin infusion rate.
A diagnosis of rheumatic fever is being ruled out for a child. The nurse teaches the parents that the lab test to check for a recent streptococcal infection is
1. throat culture. 2. antistreptolysin-O (ASLO) titer. 3. erythrocyte sedimentation rate. 4. C-reactive protein.