During the physical examination of a patient with respiratory difficulty, the nurse notices other clues to respiratory dysfunction, which are (select all that apply):
1. flushed facial skin.
2. cyanotic nailbeds.
3. protruding abdomen.
4. curved spine.
5. clubbed fingers.
2, 5
Clues to respiratory dysfunction are cyanotic nailbeds and clubbed fingers from inadequate oxygenation.
You might also like to view...
A nurse is assisting an older adult to cope with the loss of a spouse. The nurse encourages the person to use an emotion-focused coping strategy. Which of the following actions should the nurse take? (Select all that apply.)
a. Encourage the person to cry if he or she feels like it. b. Teach the person relaxation breathing ex-ercises. c. Encourage the person to make an action plan for the future. d. Suggest that the person reach out to his or her clergyperson. e. Suggest that the person attend a yoga class.
___ methods for selecting studies for review
Fill in the blank with the appropriate word.
A nurse is entering information on the client's electronic health record (EHR) and is called to assist in an emergency situation with regard to another client in the labor and birth suite
The nurse rushes to the scene to assist but leaves the chart open on the computer screen. The emergent client situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse manager's concerns? a. The nurse acknowledges that she should have made sure that her client was safe before assisting with the emergency. b. The nurse states that she should have logged out of the EHR prior to attending to the emergency. c. The nurse indicates that the unit was understaffed. d. The nurse indicates that the she changed her password following the clinical emergency to maintain confidentiality.
A patient who is receiving a final dose of intravenous (IV) cephalosporin begins to complain of pain and irritation at the infusion site. The nurse observes signs of redness at the IV insertion site and along the vein. The nurse's priority action is to
a. apply warm packs to the arm and infuse the medication at a slower rate. b. continue the infusion while elevating the arm. c. select an alternate intravenous site and administer the infusion more slowly. d. request central venous access.