When reassessing a patient's respiratory system, the nurse finds that the patient's condition has deteriorated, and although the respirations are regular, they are abnormally deep and rapid. The nurse documents that the patient has
1. Bradypnea
2. Cheyne-Stokes respirations
3. Kussmaul's respirations
4. Biot respirations
ANS: 3
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A pregnant adolescent asks the nurse, "Why does the physician call measuring my uterus ‘a fundal height'?" The nurse's answer is based on the fact that the fundus of the uterus is located:
1. Between the internal cervical os and the endometrial cavity. 2. In the elongated portion where the fallopian tubes enter. 3. In the lower third area. 4. In the uppermost (dome-shaped top) portion.
You notice that a school health nurse is teaching the children to wash their hands using a nontoxic powder that lights up under a black light
The nurse sprinkles the powder on the children's hands and later shows them by using the black light that they have put these "germs" on their faces and everywhere they have touched. The students wash their hands and see if they made the germs disappear. Which of the following reasons best represents the most important rationale for why the school nurse teaches hand washing by this method instead of giving a talk? a. The glow-powder method is more fun for everyone. b. This method gets the children more active and provides exercise. c. Physically involving the children increases their understanding. d. Most other elementary teachers use the glow-powder method.
The nurse is preparing a community education class on healthy pregnancy. Which statements should be included?
1. Eating a well-balanced diet helps prevent pregnancy complications. 2. Stress management and support systems are important in pregnancy. 3. Prenatal care can be obtained at any point in the pregnancy. 4. Complications during a prior pregnancy do not recur. 5. Exercising regularly facilitates feeling better in pregnancy.
A patient is admitted to the hospital with new-onset diabetes insipidus. Which of the following nursing diagnoses should the nurse include in the plan of care? (Select all that apply.)
a. Risk for Injury related to hypertension b. Risk for Injury related to fractures c. Risk for Deficient Fluid Volume d. Impaired Gas Exchange related to decreased oxygenation e. Knowledge Deficit related to disease process