A patient's chest excursion should be measured to assess for:
A) Complete or partial airway obstruction.
B) Pleural effusion.
C) Pneumothorax.
D) All of the above.
D
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The client requests information about where visual information is processed within the brain. When teaching the client about this process, which portion of the brain will the nurse point out?
1. A. 2. B. 3. C. 4. D.
A nurse is required to give an intramuscular (IM) injection to an 18-month-old toddler. The nurse would prepare which site for administration?
A) Dorsogluteal site B) Deltoid muscle C) Vastus lateralis D) Ventrogluteal site
A patient with a C5 spinal cord injury is tetraplegic. After being moved out of the intensive care unit, the patient complains of a severe throbbing headache. What should the nurse do first?
A) Check the patient's indwelling urinary catheter for kinks to ensure patency. B) Lower the head of the bed to improve perfusion. C) Call the physician immediately for a pain medication order. D) Reassure the patient that headaches are normal after spinal cord injuries.
Which client is at the greater risk for the nursing diagnosis Ineffective tissue perfusion?
1. 30-year-old male construction worker 2. 17-year-old male football player 3. 36-year-old 2 pack/day smoker with a career as a bartender 4. 45-year-old female police officer