A client with a history of lung disease is at risk for respiratory acidosis. For which signs and symptoms does the nurse assess this client?
A. Disorientation and dyspnea
B. Drowsiness, headache, and tachypnea
C. Tachypnea, dizziness, and paresthesias
D. Dysrhythmias and decreased respiratory rate and depth
Ans: A. Disorientation and dyspnea
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The nurse is assessing a 13-year-old boy with type 2 diabetes mellitus. Which of the following would the nurse correlate with disorder?
A) The parents report that their child had "a cold or flu" recently. B) Blood pressure is decreased when checking vital signs. C) The parents report that their son "can't drink enough water." D) Auscultation reveals Kussmaul breathing.
The nurse is providing care to a patient with a differential diagnosis of carbon monoxide poisoning. Which assessment findings would be consistent with this diagnosis?
Select all that apply. 1. cherry-red mucous membranes 2. circumoral pallor 3. diarrhea 4. nausea 5. dizziness
It has been said that "history repeats itself because no one was listening the first time." Which statement is true when comparing the nursing care provided in the Civil War (1861 to 1865) to that provided during the Crimean War?
a. Epidemics such as smallpox and typhoid were the primary emphasis of nursing care in both wars. b. Soldiers were housed in substandard conditions, but due to Nightingale's push for sanitary conditions, in the Civil War soldiers were housed in aseptic conditions. c. African-American nurses were widely accepted by society and the profession, receiving equal compensation during the Civil War due in large part to the efforts of Mary Seacole during the Crimean War. d. Both Nightingale (Crimean War) and Dix (Civil War) completed nursing training before accepting positions as nurses in the wars.
The nurse is caring for a client who is taking an antiviral medication. Which assessment might alert the nurse to possible bone marrow suppression? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Bruising 2. Hematuria 3. Temperature of 102°F 4. Decreased appetite 5. Decreased urination