A nurse working with an infant patient observes that the child, who has a nasogastric tube, is grunting on expiration, wheezing, and "seesaw" breathing. The nurse recognizes that the infant is most likely experiencing which condition?
A) Respiratory distress due to obstructed nasal passages
B) Respiratory arrest due to obstruction of the glottis
C) Epileptic seizure due to overstimulation
D) Shock due to loss of blood
A
You might also like to view...
Safe dosage range: Esmolol 50 to 300 mcg/kg/min Available: Esmolol 5 g in 500 mL D5LR The IV flow rates for the lowest and highest dosages for a client who weighs 110 lb are _____ and _____
a. 150 and 900 mg/hr b. 60 and 100 mg/hr c. 15 and 90 mL/hr d. 30 and 120 mL/hr
A nurse is assisting a client when he is draining his new continent ileostomy. The catheter appears to be plugged with stool. Which of the following actions should the nurse take to rectify the problem?
A) Avoid milking the catheter. B) Wait for 8 hours to obtain drainage. C) Leave the catheter in place overnight. D) Rotate the catheter tip inside the stoma.
Which ANA Principles for Nurse Staffing standard is applied to the organization?
a. Nursing ratios are mandated. b. The need for documented competencies for all nurses delivering patient care is supported. c. That nursing budgeted positions are not filled in a timely manner is accepted. d. The needs of the staff nurse are secondary to the patient's needs.
You are assisting in the care of a hospice patient. While giving the patient a bath you note an area on the sacrum that appears to be dried stool. You gently wash it over and over but it does not come off. It is about the size of a quarter and you are sure it was not there yesterday. What are the implications and what do you do?
What will be an ideal response?